Active NPI
Campbell Clinic
- Orthopaedic Surgery Physician
- Memphis, TN
National Provider Identifier
1992903249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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 DirectoryNPI 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.