Active NPI
Edward Matthew Campbell IV, M.D.
- Plastic Surgery Physician
- Metairie, LA
National Provider Identifier
1861892085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 017653
- Practice address
- 4825 Folse Dr
Metairie, LA 70006-1116 - Phone
- (504) 454-6201
- NPI assigned
- Aug 25, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 017653 | LA | Primary |
Addresses
Primary practice location
4825 Folse Dr
Metairie, LA 70006-1116
Mailing address
4825 Folse Dr
Metairie, LA 70006-1116
Phone (504) 454-6201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017653 | LA | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1861892085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 FOLSE DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700061116",
"telephone_number": "504-454-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4825 FOLSE DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700061116",
"telephone_number": "504-454-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "EDWARD",
"middle_name": "MATTHEW",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-25",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "LA",
"license": "017653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.