Provider Demographics
NPI:1134248222
Name:CAMPBELL NEPHROLOGY & HYPERTENSION INC
Entity type:Organization
Organization Name:CAMPBELL NEPHROLOGY & HYPERTENSION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ORVILLE
Authorized Official - Middle Name:C
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-322-9593
Mailing Address - Street 1:2410 PATTERSON ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1551
Mailing Address - Country:US
Mailing Address - Phone:615-322-9593
Mailing Address - Fax:615-322-9240
Practice Address - Street 1:2410 PATTERSON ST
Practice Address - Street 2:SUITE 402
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1551
Practice Address - Country:US
Practice Address - Phone:615-322-9593
Practice Address - Fax:615-322-9240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty
Not Answered174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3800025Medicare ID - Type Unspecified