Healthcare Provider Details

I. General information

NPI: 1336345040
Provider Name (Legal Business Name): HEATHER A CAMPION M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER A HOFFMAN

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 E IRELAND RD
SOUTH BEND IN
46614-2845
US

IV. Provider business mailing address

3245 HEALTH DR STE 100
GRANGER IN
46530-1380
US

V. Phone/Fax

Practice location:
  • Phone: 574-647-1700
  • Fax: 574-647-7572
Mailing address:
  • Phone: 574-647-3725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberMD160685
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number01098765A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number01098765A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: