=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659270213
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ENCORE INTEGRATIVE ORTHOPEDICS AND REGENERATIVE MEDICINE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2026
-----------------------------------------------------
Last Update Date | 11/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 HAZEL LN STE 301B
-----------------------------------------------------
City | SEWICKLEY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15143-1249
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-800-0467
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 100 HAZEL LN STE 301B
-----------------------------------------------------
City | SEWICKLEY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15143-1249
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, MEDICAL DIRECTOR
-----------------------------------------------------
Name | DONALD CAMPBELL
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 412-800-0467
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207XX0005X
-----------------------------------------------------
Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------