MR. SCOTT EAGLESHAM CAMPBELL


Address: 1415 Breckenridge Dr, Suite B, Little Rock, AR 72227-4819
Phone: 5012277797

MR. SCOTT EAGLESHAM CAMPBELL (NPI# 1821458605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821458605
Entity Type Individual
Full Name MR. SCOTT EAGLESHAM CAMPBELL
Credential PA-C
Practice Address 1415 Breckenridge Dr
Suite B
Little Rock
AR 72227-4819
Practice Telephone 5012277797
Practice Fax Number 5012277753
Mailing Telephone 5012277797
Mailing Fax Number 5012277753
Enumeration Date 2016-03-07
Last Update Date 2016-06-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA-664 AR Physician Assistants & Advanced Practice Nursing Providers

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1124114962 Scott A Campbell Emergency Medicine 700 2nd Street, Washington, DC 20002-8100 2006-10-05
1326003518 Scott M Campbell Optometrist 605 Stewart St, Seattle, WA 98101-1211 2006-04-19
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Office Location

Street Address 1415 BRECKENRIDGE DR
SUITE B
City LITTLE ROCK
State AR
Zip Code 72227-4819

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023136462 Samuel M Strong Dentist 1415 Breckenridge Dr, Ste D, Little Rock, AR 72227 2007-03-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1588978886 Nina M. Mcintyre Psychologist 3208 Foxcroft Rd., Little Rock, AR 72227 2010-07-29
1922237437 J Michael Wood Jr. Psychologist 8306 Reymere Drive, Little Rock, AR 72227 2009-07-06
1184846701 Aptc of Little Rock, Inc. Clinic/Center 10014 North Rodney Parham, Suite 100, Little Rock, AR 72227 2007-05-03
1386704385 David Wilson Wardlaw Dentist 8315 Cantrell Road, Suite 100, Little Rock, AR 72227 2006-12-11
1639191596 Arkansas Neurosurgery Brain & Spine Clinic P.a. Neurological Surgery 8201 Cantrell Rd, Ste 265, Little Rock, AR 72227 2006-07-23
1245609551 Bobby Gragston Physical Therapist 10014 North Rodney Parham, Suite 103, Little Rock, AR 72227 2015-09-16
1124496393 Sarah Walker Physical Therapist 10014 North Rodney Parham, Suite 103, Little Rock, AR 72227 2015-09-04
1477952422 Arkansas Neurosurgery Brain & Spine Clinic P.a. Durable Medical Equipment & Medical Supplies 8201 Cantrell Rd, Ste 265, Little Rock, AR 72227 2014-08-15
1760551451 Eugene Edward Sloan Surgery 8315 Cantrell Rd, Ste 120, Little Rock, AR 72227 2006-11-07
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700281938 Carol J Trana Physician Assistant 4301 West Markham St, #748, Little Rock, AR 72205-7199 2014-10-30
1326038035 Douglas A. Clark Physician Assistant 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 2005-10-25
1205826187 Dallas M Bondhus Physician Assistant 9600 Baptist Health Dr Ste 320, Little Rock, AR 72205-6322 2005-10-24
1679173645 Tristan Jenkins Physician Assistant 800 Fair Park Blvd, Little Rock, AR 72204-1720 2020-10-29
1962019182 Houston Cotton Physician Assistant 4301 W Markham St # 783, Little Rock, AR 72205-7101 2020-09-30
1033750898 Susan Brooke Contois Physician Assistant 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 2019-10-03
1023575420 Faith Marquardt Physician Assistant 800 Fair Park Blvd, Little Rock, AR 72204-1720 2019-02-22
1083170807 Caleb Brett Mason Physician Assistant 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 2019-02-17
1043776099 Lauren Abigail Rainwater Physician Assistant 800 Fair Park Blvd, Little Rock, AR 72204-1720 2019-02-14
1457815755 Audra Anne Nosal Physician Assistant 4301 W Markham St # 783, Little Rock, AR 72205-7101 2019-01-31
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Competitor

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City LITTLE ROCK
Zip Code 72227

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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