Physician Compare National (NPI:1457531022)

HEALTHCARE PROVIDER: JOHN A CAMPA III MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1457531022
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5294074852
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190227000830
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CAMPA
	Individual professional last name
Provider First Name	ASCENCION
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	7520 MONTGOMERY BLVD NE E
	Group Practice or individual's line 1 address
Line 2 Street Address	4 JOHN A CAMPA III MD PC
	Group Practice or individual's line 2 address
City	ALBUQUERQUE
	Group Practice or individual's city
State	NM
	Group Practice or individual's state
Zip Code	871091554
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5055081543
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y