Provider Demographics
NPI:1861436701
Name:CAMPION, JAMES P (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:CAMPION
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Gender:M
Credentials:MD
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Mailing Address - Street 1:15 S MAIN ST
Mailing Address - Street 2:SUITE 160 - GASTROENTEROLOGY
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-6627
Mailing Address - Country:US
Mailing Address - Phone:164-847-1077
Mailing Address - Fax:716-665-2985
Practice Address - Street 1:15 S MAIN ST
Practice Address - Street 2:SUITE 160 - GASTROENTEROLOGY
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-6627
Practice Address - Country:US
Practice Address - Phone:164-847-1077
Practice Address - Fax:716-665-2985
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2021-06-08
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Provider Licenses
StateLicense IDTaxonomies
NY202390-01207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001582625Medicaid
NY1658548Medicaid
NYJ400193533OtherMEDICARE PTAN
PA001582625Medicaid