JOHNNY PHILLIPS CAMPBELL (NPI# 1003852039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003852039 |
| Entity Type | Individual |
| Full Name | JOHNNY PHILLIPS CAMPBELL |
| Credential | MD |
| Practice Address |
316 Calhoun St Charleston SC 29401-1113 |
| Mailing Address |
Po Box 2363 Indianapolis IN 46206-2363 |
| Practice Telephone | 8437242988 |
| Mailing Telephone | 8437242154 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2014-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
28443 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RR MEDICARE | P00396969 | 01 |
| SC | Q01611 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811458896 | Johnny Campbell Jr. | Student in an Organized Health Care Education/Training Program | 420 Avenue F, Bogalusa, LA 70427-3634 | 2019-03-30 |
| 1437623931 | Johnny Eugene Campbell II | Physical Therapy Assistant | 801 Musgrove St, Clinton, SC 29325-1752 | 2019-01-17 |
| Street Address |
316 CALHOUN ST |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29401-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980628 | Todd A. Shuman | Surgery | 316 Calhoun St, Charleston, SC 29401-1113 | 2005-05-24 |
| 1407455587 | Lisa Plumley | Social Worker | 316 Calhoun St, Charleston, SC 29401-1113 | 2020-10-20 |
| 1811504186 | Samuel Tyler Mcgee | Pharmacist | 316 Calhoun St, Charleston, SC 29401-1113 | 2020-09-30 |
| 1184246175 | Jennifer Suzanne Taylor | Registered Nurse | 316 Calhoun St, Charleston, SC 29401-1113 | 2020-05-12 |
| 1689296121 | Swati Midha | Pharmacist | 316 Calhoun St, Charleston, SC 29401-1113 | 2020-05-07 |
| 1962040238 | Roper Saint Francis Physicians Network | Surgery | 316 Calhoun St, Charleston, SC 29401-1113 | 2019-12-17 |
| 1932747748 | Chelsey A D Massey | Nurse Practitioner | 316 Calhoun St, Charleston, SC 29401-1113 | 2019-12-12 |
| 1720625783 | Kathryn Aimar | Nurse Practitioner | 316 Calhoun St, Charleston, SC 29401-1113 | 2019-12-09 |
| 1538710116 | Matthew Wayne Faust | Nurse Practitioner | 316 Calhoun St, Charleston, SC 29401-1113 | 2019-09-24 |
| 1144877655 | 24 On Physicians of Sc LLC | Hospitalist | 316 Calhoun St, Charleston, SC 29401-1113 | 2019-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162873 | Jonathan Hayes | Registered Nurse | 109 Bee St. Ralph H. Johnson Vamc, Charleston, SC 29401 | 2017-09-05 |
| 1659724904 | M & M Lineberger Dds Ms Pa | Dentist | 347 N. Caswell, Charlotte, NC 29401 | 2016-07-21 |
| 1619375185 | Zach Adams | Specialist/Technologist | 301 Meeting Street, Charleston, SC 29401 | 2014-12-15 |
| 1528469723 | Linda Graber | Occupational Therapist | 75 Calhoun Street, Charleston County Schools, Charleston, SC 29401 | 2014-09-08 |
| 1427497858 | Erika Lynn Wilson | Mechanotherapist | 310 King Street, Charleston, SC 29401 | 2013-06-19 |
| 1730525460 | Mary Beth Hill | Psychologist | 75 Cahoun Street, Charleston, SC 29401 | 2013-05-21 |
| 1699019810 | Chs Psychiatric Associates LLC | Psychiatric Hospital | 255 King Street #8, Charleston, SC 29401 | 2012-11-15 |
| 1255681581 | Parul Olivia Earley | Pharmacist | 59 George St., Charleston, SC 29401 | 2012-09-13 |
| 1669760815 | Dana Leigh Chiulli | Pharmacist | 109 Bee Street (119), Charleston, SC 29401 | 2011-07-20 |
| 1295028959 | Kathleen Anne Waters | Nurse Practitioner | Charleston Center, 5 Charleston Center Drive, Charleston, SC 29401 | 2011-05-26 |
| Find all providers in zip 29401 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194275941 | Florida United Radiology, Lc | Radiology | 7 Pear Tree Ct, Charleston, IL 61920-4415 | 2016-10-05 |
| 1245687540 | John Frederick Hughes | Radiology | 96 Jonathan Lucas St # 323, Charleston, SC 29425-3230 | 2016-05-17 |
| 1386030021 | Shawn Hobby | Radiology | 96 Jonathan Lucas St Charleston Sc 29425, Charleston, SC 29425-0001 | 2015-04-09 |
| 1962601096 | James A. Thesing D.o. P.C. | Radiology | 295 Seven Farms Dr., Ste C-103, Charleston, SC 29492 | 2007-07-18 |
| 1730387622 | Courtney Stewart | Radiology | 96 Jonathan Lucas, Msc 32, Musc, Department of Radiology, Charleston, SC 29425-3230 | 2007-07-03 |
| 1275753576 | Mountaineer Imaging Center | Radiology | 60 R H L Blvd, Charleston, WV 25309-8278 | 2007-04-27 |
| 1285711671 | Jared Mills | Radiology | 1028 Jamsie Cove Dr, Charleston, SC 29412-4965 | 2006-11-01 |
| 1114000882 | Darryl Randolph Pauls | Radiology | 261 Ashley Ave, Suite 100, Charleston, SC 29425-8908 | 2006-10-24 |
| 1790869311 | Joshua L. Sherwin | Radiology | 484 King St Ste 205, Charleston, SC 29403-6229 | 2006-10-24 |
| 1700895562 | Rand J Cuthbertson | Radiology | 474 King St Ste 205, Charleston, SC 29403 | 2006-08-07 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.