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JOHN ROBERT CAMPBELL PAC NPI 1669575452


NPI Information

NPI: 1669575452
Provider Name: JOHN ROBERT CAMPBELL, PAC
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Organization: BOULDER INTERNAL MEDICINE PC

PECOS Registration: Yes

Address:
2880 FOLSOM ST
SUITE 100
BOULDER, CO
ZIP 80304
Phone: (303) 327-7047
Get Directions

John Robert Campbell, PAC is a physician assistant in Boulder, CO with 25 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. John Robert Campbell, PAC NPI is 1669575452. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

2880 FOLSOM ST
SUITE 100
BOULDER, CO
ZIP 80304-739
Phone: (303) 327-7047
Fax: (303) 443-7168

The NPI 1669575452 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 9/6/2006 and was last updated on 1/21/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant1215COLORADOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
152004082MEDICAIDCOLORADO
2MC0498267OTHERDEA
3352738MEDICARE ID-TYPE UNSPECIFIED
4C807509MEDICARE PINCOLORADO
5P03239MEDICARE UPIN
6P00377349OTHERCOLORADORAILROAD MEDICARE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.