Active NPI
Barbara A Campbell, D.P.M.
- Podiatrist
- Paradise Valley, AZ
National Provider Identifier
1952398869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 292
- Practice address
- 10575 N Tatum Blvd
Ste C123
Paradise Valley, AZ 85253-1070 - Phone
- (480) 596-1008
- Fax
- (480) 596-1191
- NPI assigned
- Oct 5, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 292 | AZ | Primary |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 0292 | AZ | |
| Foot Surgery Podiatrist | 213ES0131X | 0292 | AZ |
Addresses
Primary practice location
10575 N Tatum Blvd
Ste C123
Paradise Valley, AZ 85253-1070
Mailing address
10575 N Tatum Blvd
Ste C123
Paradise Valley, AZ 85253-1070
Phone (480) 596-1008
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150962 | Other | ACHCCS PROVIDER # | |
| 292 | Other | AZ | ARIZONA STATE LICENSE # |
| AZ0190290 | Other | AZ | AZBXBS PROVIDER # |
| 6299985 | Other | GHI PROVIDER # | |
| 860799019 | Other | TRICARE PROVIDER # | |
| 480006157 | Other | RR MEDICARE PROVIDER # | |
| 7042138 | Other | AETNA PROVIDER # | |
| P85611 | Other | EMPIRE BX PROVIDER # |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292 | AZ | MD | Naturopath |
| 0292 | AZ | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradise Valley Foot & Ankle PLLC | Podiatrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Podiatrist
- Phoenix, AZ
- NPI 1710234422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1952398869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10575 N TATUM BLVD",
"address_2": "STE C123",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852531070",
"telephone_number": "480-596-1008",
"fax_number": "480-596-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10575 N TATUM BLVD",
"address_2": "STE C123",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852531070",
"telephone_number": "480-596-1008",
"fax_number": "480-596-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "BARBARA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "292",
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "AZ",
"license": "0292",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "AZ",
"license": "0292",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACHCCS PROVIDER #",
"identifier": "150962",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA STATE LICENSE #",
"identifier": "292",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZBXBS PROVIDER #",
"identifier": "AZ0190290",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER #",
"identifier": "6299985",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PROVIDER #",
"identifier": "860799019",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PROVIDER #",
"identifier": "480006157",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "7042138",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BX PROVIDER #",
"identifier": "P85611",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Paradise Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.