Joseph Campbell, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD05853 Issued in RI

Practice address

75 Sockanosset Cross Rd
Suite 100
Cranston, RI 02920-5558

Phone

(401) 946-6200

Fax

(401) 275-1992

NPI assigned

Sep 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Coastal Medical Inc

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1609863828

  Internal Medicine

  NPD (past)
• Coastal Medical Inc

  • Clinical Medical Laboratory
  • Providence, RI
  • NPI 1972590552
  NPD (past)
• Coastal Medical, Inc.

  • Non-Pharmacy Dispensing Site
  • Cranston, RI
  • NPI 1184767022
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1891780573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ",
            "address_2": "SUITE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034754",
            "telephone_number": "401-421-4000",
            "fax_number": "401-272-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SOCKANOSSET CROSS RD",
            "address_2": "SUITE 100",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205558",
            "telephone_number": "401-946-6200",
            "fax_number": "401-275-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD05853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110196624",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020136",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "709004045",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Caisse, PARAMEDIC
• John R Caldarelli, MD
• Ron Lawrence Caldarone, LICSW
• Calma Birth Doula
• Courtney Cameron, DPT
• Rachel Raye Candelaria, LMHC
• Frank James Canino, PH.D.
• Michael Cantone
• Caputo Chiropractic Inc
• Edward Thomas Caputo, D.C.

• All providers in Cranston, RI
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.