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C. E. CAMPBELL JR. M.D., PA
NPI 1114934353
Specialist in Blytheville, AR

Active since August 01, 2006
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 16, 2026.

About C. E. Campbell Jr. M.d., Pa NPPES

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

C. E. CAMPBELL JR. M.D., PA (NPI 1114934353) is an individual specialist in Blytheville, Arkansas, licensed in Arkansas (R1755) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1114934353
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameC. E. CAMPBELL JR.Credential: M.D., 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
Sole ProprietorYes
Enumeration DateAugust 1, 2006
Last NPPES UpdateMarch 1, 2011
✔ NPI 1114934353 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 8

Other508807299AR · Medicare Rendering #
Medicare UPINEO5469AR
Other1114934353AR · Individual Npi
Medicaid201045309MO
Other1104017227AR · Group Npi
OtherR1755AR · State License
Medicaid103439001AR
Other50880AR · Individual Bc/bs

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 MD 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. Campbell's NPI number?

The NPI number for C. Campbell is 1114934353. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is C. Campbell located?

C. Campbell practices at 609 Fulton St, Blytheville, AR 72315. The listed phone number is (870) 763-0855.

What is C. Campbell'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. Campbell 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.