Provider Demographics
NPI:1184765257
Name:CHOW, JAMES CAMPBELL (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CAMPBELL
Last Name:CHOW
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:JIMMY
Other - Middle Name:
Other - Last Name:CHOW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3700 N 24TH ST STE 160
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-6500
Mailing Address - Country:US
Mailing Address - Phone:480-490-6561
Mailing Address - Fax:
Practice Address - Street 1:3700 N 24TH ST STE 160
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-6500
Practice Address - Country:US
Practice Address - Phone:480-490-6561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA231264207X00000X
IL336.082610207X00000X
AZ41725207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ478887Medicaid
MA2140071Medicaid
MA2140071Medicaid
AZZ134886Medicare UPIN
ILR03278Medicare PIN