1841371432 NPI number — DR. CAMPBELL W J MACARTHUR M.D. FRCS(C)

Table of content: DR. CAMPBELL W J MACARTHUR M.D. FRCS(C) (NPI 1841371432)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841371432 NPI number — DR. CAMPBELL W J MACARTHUR M.D. FRCS(C)

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MACARTHUR
Provider First Name:
CAMPBELL
Provider Middle Name:
W J
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D. FRCS(C)
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841371432
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/29/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1070
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GLOUCESTER
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23061-1070
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-693-0330
Provider Business Mailing Address Fax Number:
804-693-4059

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7570 HOSPITAL DRIVE
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
GLOUCESTER
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23061
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-693-0330
Provider Business Practice Location Address Fax Number:
804-693-4059
Provider Enumeration Date:
10/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Y00000X , with the licence number:  0101050644 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 330123 . This is a "HEALTHKEEPERS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 6501052 . This is a "VIRGINIA PREMIER" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 2127626 . This is a "ALLIANCE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 2127626 . This is a "GEHA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 97155 . This is a "SENTARA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2127626 . This is a "MAMSI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2127626 . This is a "MDIPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 97155 . This is a "OPTIMA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 330123 . This is a "ANTHEM" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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