Active NPI
William L Campbell, AA
- Anesthesiologist Assistant
- Madison, WI
National Provider Identifier
1891761383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 25
- Practice address
- 4830 Woodburn Dr
Madison, WI 53711-1346 - Phone
- (608) 274-3526
- NPI assigned
- Feb 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 25 | WI | Primary |
Addresses
Primary practice location
4830 Woodburn Dr
Madison, WI 53711-1346
Mailing address
4830 Woodburn Dr
Madison, WI 53711-1346
Other practice location 1
600 Highland Ave
Madison, WI 53792
Phone (608) 263-8100
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)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25 | WI | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520380800000",
"number": "1891761383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4830 WOODBURN DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537111346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4830 WOODBURN DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537111346",
"telephone_number": "608-274-3526"
}
],
"practiceLocations": [
{
"address_1": "600 Highland Ave",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "53792",
"country_code": "US",
"telephone_number": "608-263-8100",
"fax_number": "608-263-0575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "WILLIAM",
"middle_name": "L",
"credential": "AA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2018-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "WI",
"license": "25",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.