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C. E. CAMPBELL, JR MD PA
NPI 1104017227
Specialist in Blytheville, AR

Active since August 05, 2007
609 FULTON ST, BLYTHEVILLE, AR 72315(870) 763-0855(870) 763-0858 Get Directions Write a Review

NPPES record last updated: March 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About C. E. Campbell, Jr Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

C. E. CAMPBELL, JR MD PA (NPI 1104017227) is a healthcare organization registered as a specialist in Blytheville, Arkansas and active in the NPI registry since August 2007. The organization lists Lynda White, Billing Administrator, as its authorized official.

NPPES Registry Identity

NPI1104017227
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameC. E. CAMPBELL, JR MD PA
Location Address609 FULTON STBlytheville, AR 72315-1922
Mailing Address609 Fulton StBlytheville, AR 72315-1922 · (870) 763-0855 · Fax (870) 763-0858
Phone(870) 763-0855
Fax(870) 763-0858
Organization SubpartNo
Authorized OfficialLynda WhiteBilling Administrator · (870) 763-0855
Enumeration DateAugust 5, 2007
Last NPPES UpdateMarch 1, 2011
✔ NPI 1104017227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AR · R1755
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
609 FULTON ST, Blytheville, AR 72315
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Other Identifiers 7

Medicare UPINEO5469AR
Other103491002AR · Medicaid (group)
Medicaid103491002AR
Other1114934353AR · Individual Npi
Other1104017227AR · Group Npi
Medicaid501821003MO
Medicare PIN57299AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

C. E. CAMPBELL JR. M.D., PA
Specialist
609 FULTON ST
BLYTHEVILLE, AR 72315
Mississippi County (870) 763-0855
MARKA MORGAN DAVIS APRN
Nurse Practitioner (Family)
609 FULTON ST
BLYTHEVILLE, AR 72315
Mississippi County (844) 215-0731
DR. BRIAN S NILES M.D.
Urology
609 FULTON ST
BLYTHEVILLE, AR 72315
Mississippi County (870) 763-0855
PAIN TREATMENT CENTERS OF AMERICA, PLLC
Durable Medical Equipment & Medical Supplies
609 FULTON ST
BLYTHEVILLE, AR 72315
Mississippi County (844) 215-0731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is C. E. Campbell, Jr MD PA's NPI number?

The NPI number for C. E. Campbell, Jr MD PA is 1104017227. It was assigned to this organization in the NPPES registry on August 5, 2007.

Where is C. E. Campbell, Jr MD PA located?

C. E. Campbell, Jr MD PA is located at 609 Fulton St, Blytheville, AR 72315. The listed phone number is (870) 763-0855.

What is C. E. Campbell, Jr MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for C. E. Campbell, Jr MD PA was last updated on March 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.