Provider Demographics
NPI:1154312718
Name:CAMPBELL, ALBERT JAMES III (MD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:JAMES
Last Name:CAMPBELL
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5400 FRANTZ RD
Mailing Address - Street 2:STE 250
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4144
Mailing Address - Country:US
Mailing Address - Phone:614-544-6382
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:285 E STATE ST
Practice Address - Street 2:SUITE 640
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4354
Practice Address - Country:US
Practice Address - Phone:614-566-7444
Practice Address - Fax:614-566-7488
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2021-12-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35-054154208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0804704Medicaid
OH0804704Medicaid
OHE65487Medicare UPIN