Provider Demographics
NPI:1700950870
Name:CAMPBELL, JAMES SPENCER (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:SPENCER
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 MARYLAND DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-1028
Mailing Address - Country:US
Mailing Address - Phone:504-237-1710
Mailing Address - Fax:
Practice Address - Street 1:123 MARYLAND DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-1028
Practice Address - Country:US
Practice Address - Phone:504-237-1710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13523R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA13523ROtherMEDICAL LICENSE
LA1428353Medicaid
LA1428353Medicaid
LA13523ROtherMEDICAL LICENSE
LA5H342Medicare PIN
LA5H342F669Medicare PIN