James R Campbell
JAMES R. CAMPBELL, D.O., INC.


Address: 500 S Elm Pl, Broken Arrow, OK 74012-5375
Phone: 9182511391

James R Campbell (NPI# 1720091077, PAC ID# 6507945318) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1720091077
PAC ID by PECOS 6507945318
Professional Enrollment ID I20080506000155
Full Name James R Campbell
Organization Legal Name JAMES R. CAMPBELL, D.O., INC.
Address 500 S Elm Pl
Broken Arrow
OK 74012-5375
Phone Number 9182511391
Gender M
Medical School OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY
Graduation Year 1977
Primary Specialty FAMILY MEDICINE
Secondary Specialties GENERAL PRACTICE
Group Practice PAC ID 7315026135
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
371333 CREEK NATION COMMUNITY HOSPITAL
370218 SAINT FRANCIS HOSPITAL SOUTH, LLC

Other Locations

Address Phone Organization
500 S Elm Pl, Broken Arrow, OK 74012-5375 9182511391 JAMES R. CAMPBELL, D.O., INC.

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 100%
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 100%
MIPS_EC_154_overall Falls: Risk Assessment 100%
MIPS_EC_154_overall Falls: Risk Assessment 100%

Organization Information

Organization Legal Name JAMES R. CAMPBELL, D.O., INC.
Physicians 1

Office Location

Street Address 500 S ELM PL
City BROKEN ARROW
State OK
Zip 74012-5375

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Travis D Ring Chiropractic 2433 N Aspen Ave, Broken Arrow, OK 74012-1142
Marilyn Sue Taylor Physician Assistant Pmo Medical Pllc 1751 N Aspen Ave, Broken Arrow, OK 74012-1197
Jeffrey L Halford Physical Medicine and Rehabilitation Pmo Medical Pllc 1751 N Aspen Ave, Broken Arrow, OK 74012-1197
Jo-anna Coppin Lohr Nurse Practitioner Pmo Medical Pllc 1751 N Aspen Ave, Broken Arrow, OK 74012-1197
Brent W Henderson Anesthesiology Pmo Medical Pllc 1751 N Aspen Ave, Broken Arrow, OK 74012-1197
Dena Marie Brunk Physical Therapy Redbud Physical Therapy LLC 1700 W Albany St, Suite 310, Broken Arrow, OK 74012-1478
Amira A Al Jiboori Physical Therapy Redbud Physical Rehabilitation PC 1700 W Albany, Suite 310, Broken Arrow, OK 74012-1478
Emily Lynne Sweeney Physical Therapy Redbud Physical Therapy LLC 1700 W Albany St, Suite 310, Broken Arrow, OK 74012-1478
Find all physicians in zip 74012

Competitor

Search similar physicians

City BROKEN ARROW
Zip Code 74012
Specialty FAMILY MEDICINE
City + Specialty BROKEN ARROW + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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