Organization Active NPI

Ellen F Campbell, M.D., P.C.

  • Internal Medicine Physician
  • Reston, VA
National Provider Identifier
1942486907
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101052547 Issued in VA
Legal business name
ELLEN F CAMPBELL, M.D., P.C.
Practice address
1860 Town Center Dr
Suite 160
Reston, VA 20190-5896
Phone
(703) 736-5500
Fax
(703) 736-5501
NPI assigned
Jan 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Dr. Ellen Campbell, MD
Title
Physician
Phone
(703) 736-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101052547 VA Primary

Addresses

Primary practice location

1860 Town Center Dr
Suite 160
Reston, VA 20190-5896

Mailing address

1860 Town Center Dr
Suite 160
Reston, VA 20190-5896

National Provider Directory

National Provider Directory

Locations

1860 Town Center Dr
Ste 160
Reston, VA 20190
Phone (703) 736-5500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1942486907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR",
            "address_2": "SUITE 160",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR",
            "address_2": "SUITE 160",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905896",
            "telephone_number": "703-736-5500",
            "fax_number": "703-736-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN F CAMPBELL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-736-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101052547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.