MINDIE JOYCE CAMPBELL PA NPI 1558393827

NPI Information

NPI: 1558393827
Provider Name: MINDIE JOYCE CAMPBELL, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
550 SOUTH PEORIA AVE
INDIAN HEALTH CARE RESOURSE CENTER OF TULSA, INC
TULSA, OK
ZIP 74120
Phone: (918) 588-1900
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Mindie Joyce Campbell, PA is a medical physician assistant in Tulsa, OK. Mindie Joyce Campbell, PA NPI is 1558393827. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

550 SOUTH PEORIA AVE
INDIAN HEALTH CARE RESOURSE CENTER OF TULSA, INC
TULSA, OK
ZIP 74120-820
Phone: (918) 588-1900
Fax: (918) 582-6405

The enumeration date for this NPI number is 7/7/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	1065994	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A44169	MEDICARE UPIN
2	1601417	MEDICAID	OKLAHOMA
3	244515205	MEDICARE ID-TYPE UNSPECIFIED	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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