Provider Demographics
NPI:1033127394
Name:CAMPBELL, BARBARA J (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 S PLEASANT AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-2183
Mailing Address - Country:US
Mailing Address - Phone:814-443-6588
Mailing Address - Fax:814-445-9688
Practice Address - Street 1:223 S PLEASANT AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-2183
Practice Address - Country:US
Practice Address - Phone:814-443-6588
Practice Address - Fax:814-445-9688
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035477E207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010422750003Medicaid
PA0010422750003Medicaid
B96682Medicare UPIN