Organization Active NPI

Campbell Clinic

  • Orthopaedic Surgery Physician
  • Memphis, TN
National Provider Identifier
1992903249
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
390200000X
Legal business name
CAMPBELL CLINIC
Practice address
1211 Union Ave
Memphis, TN 38104-6638
Phone
(901) 759-3275
NPI assigned
Jul 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Authorized official

Name
Michael Davis
Title
Resident Physician
Phone
(901) 576-2705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 390200000X Primary

Addresses

Primary practice location

1211 Union Ave
Memphis, TN 38104-6638

Mailing address

1211 Union Ave
Memphis, TN 38104-6638

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1183939200000",
    "number": "1992903249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046638",
            "telephone_number": "901-759-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-09",
        "last_updated": "2007-07-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "RESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "901-576-2705"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": "390200000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.