Curtis Glenn Campbell, MMSC. PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 60178683 Issued in WA

Practice address

1445 Spaulding Ave Ste 102
Richland, WA 99352-4715

Phone

(509) 578-1016

Fax

(509) 472-3729

NPI assigned

May 15, 2009

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: curtis.campbell@4161.securemail.prognocis.com
• Direct secure messaging: ccampbell733860@direct.lhs.org
• Direct secure messaging: curtis.campbell.p2@direct.medcor.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PNW Occupational Medicine PLLC

  • Physician Assistant
  • Richland, WA
  • NPI 1972280899
  NPD Authorized official
• Olney Emergency Group, a Professional LLC

  • Emergency Medicine Physician
  • Toppenish, WA
  • NPI 1386108868
  Medicare reassignment
• William Forsythe, DO, PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Kennewick, WA
  • NPI 1003143652
  NPD (past)

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699747200000",
    "number": "1952536211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 SPAULDING AVE STE 102",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524715",
            "telephone_number": "509-578-1016",
            "fax_number": "509-472-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 SPAULDING AVE STE 102",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524715",
            "telephone_number": "509-578-1016",
            "fax_number": "509-472-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CURTIS",
        "middle_name": "GLENN",
        "credential": "MMSC. PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-15",
        "last_updated": "2023-11-12",
        "certification_date": "2023-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA 60178683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA ALLOPATHIC BOARD",
            "identifier": "PA60178683",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "5CRPB63",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1810142",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karin A Cagle, M.A.
• Lisa Marie Cahoon, PHARMD
• Ciara Callaway
• Jannet L Calvert, O.D.
• Ayla Jo Camp, CBT
• Can DO Kids
• Cannaconscious Botanicals
• Cantley Vision Inc PS (Columbia Point Vision Clinic)
• David A Cantley, OD
• Richard Ward Cantrell, MS

• Physician Assistant in Richland, WA
• Providers in Richland, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.