Active NPI
Camp Interventional Pain Associates, PLLC
- Pain Medicine (Anesthesiology) Physician
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- CAMP INTERVENTIONAL PAIN ASSOCIATES, PLLC
- Practice address
- 2900 Medical Center Pkwy Ste 110
Bentonville, AR 72712-3212 - Phone
- (501) 913-3879
- NPI assigned
- Oct 26, 2018
- Last updated
- Oct 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brittany Camp
- Title
- Office Manager
- Phone
- (501) 913-3879
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
2900 Medical Center Pkwy Ste 110
Bentonville, AR 72712-3212
Mailing address
2900 Medical Center Pkwy Ste 110
Bentonville, AR 72712-3212
Phone (501) 913-3879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2241332 | Camp Interventional Pain Associates | Certificate of waiver | Oct 26, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Pain Medicine Physician
- Corpus Christi, TX
- NPI 1245707033
Member Of
Interoperability endpoints
- https://api.platform.athenahealth.com/18804/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine (Anesthesiology) Physician
- Bentonville, AR
- NPI 1538521042
Single Specialty
-
- Pain Medicine (Anesthesiology) Physician
- Houston, TX
- NPI 1790946051
-
- Pain Medicine (Anesthesiology) Physician
- Corpus Christi, TX
- NPI 1609037969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540512000000",
"number": "1871060079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 MEDICAL CENTER PKWY STE 110",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123212",
"telephone_number": "501-913-3879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 MEDICAL CENTER PKWY STE 110",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123212",
"telephone_number": "501-913-3879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMP INTERVENTIONAL PAIN ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-26",
"last_updated": "2018-10-26",
"status": "A",
"authorized_official_last_name": "CAMP",
"authorized_official_first_name": "BRITTANY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "501-913-3879"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.