Active NPI
Gregory Campbell, MD
- Diagnostic Radiology Physician
- Midwest City, OK
National Provider Identifier
1972563419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 13742
- Practice address
- 2825 Parklawn Dr
Radiology Dept.
Midwest City, OK 73110-4201 - Phone
- (405) 610-8398
- NPI assigned
- Mar 27, 2006
- Last updated
- Nov 23, 2012
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 13742 | OK | Primary |
Addresses
Primary practice location
2825 Parklawn Dr
Radiology Dept.
Midwest City, OK 73110-4201
Mailing address
PO Box 720778
Norman, OK 73070-4602
Phone (405) 535-7669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100162510A | Medicaid | OK |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13742 | OK | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Medical Care PC | Past | Accepting new patients | |
| Deaconess Physician Services LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1427017862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353628800000",
"number": "1972563419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 720778",
"city": "NORMAN",
"state": "OK",
"postal_code": "730704602",
"telephone_number": "405-535-7669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 PARKLAWN DR",
"address_2": "RADIOLOGY DEPT.",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104201",
"telephone_number": "405-610-8398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "GREGORY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2012-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "13742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100162510A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.