Jenny Miranda Campbell, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

E-5372 Issued in AR

Practice address

700 S 52ND St
Rogers, AR 72758-8605

Phone

(479) 464-8887

Fax

(479) 464-9949

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Allergy/ImmunologyAlso: Pediatric Medicine

Education

University of Arkansas College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hedberg Allergy and Asthma Center PAGroup PAC ID 3476454026, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hedberg Allergy and Asthma Center, PA

  • Allergy & Immunology Physician
  • Rogers, AR
  • NPI 1295820918

  AR

  Medicare reassignment Care Compare group
• Hedberg Allergy and Asthma Center, PA

  • Allergy Physician
  • Fayettteville, AR
  • NPI 1548530694
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1861607368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S 52ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588605",
            "telephone_number": "479-464-8887",
            "fax_number": "479-464-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S 52ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588605",
            "telephone_number": "479-464-8887",
            "fax_number": "479-464-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JENNY",
        "middle_name": "MIRANDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MO",
            "license": "2006009443",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AR",
            "license": "E-5372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Elizabeth Callahan, APRN
• Liliana Yasmin Camacho
• Amanda Campbell
• Christopher Mark Campbell, M.D.
• Danielle Jean Campbell
• Lyssa Campbell, PHARMD
• Steele R Campbell, LAC
• Mariella Camposeo
• Jennifer Canter, LAC
• Janet Susan Cantwell, MD

• Allergy & Immunology Physician in Rogers, AR
• Providers in Rogers, AR by specialty
• Allergy & Immunology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.