MR. PATRICK GENE CAMPBELL (NPI# 1023094414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023094414 |
| Entity Type | Individual |
| Full Name | MR. PATRICK GENE CAMPBELL |
| Credential | PA-C |
| Practice Address |
1494 Avocado Ave Melbourne FL 32935-6532 |
| Practice Telephone | 3216107950 |
| Mailing Telephone | 3216107950 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2013-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA3149 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038339 | Patrick Campbell | Dentist | 8300 Wisconsin Ave Apt 511, Bethesda, MD 20814-3194 | 2020-06-22 |
| 1982135091 | Patrick Taylor Campbell | Student in an Organized Health Care Education/Training Program | 130 Mason Farm Road Bioinformatics Building Cb# 7080, Chapel Hill, NC 27599-2908 | 2017-03-22 |
| 1679676605 | Patrick Scott Campbell | Chiropractor | 5008 Atwood Dr Ste 4, Richmond, KY 40475-8184 | 2006-09-06 |
| 1528007002 | Patrick A Campbell | Podiatrist | 229 Leatherman Rd, Wadsworth, OH 44281-9236 | 2006-06-06 |
| 1285293795 | Patrick Campbell | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 | 2019-06-08 |
| 1659856813 | Patrick Campbell | Student in an Organized Health Care Education/Training Program | 11515 Sutphin Blvd, Jamaica, NY 11434-1020 | 2018-10-03 |
| 1689151508 | Patrick Campbell | Dentist | 39033 Support Ave, Ft. Hood, TX 76544 | 2018-07-24 |
| 1609311901 | Patrick Campbell | Licensed Practical Nurse | 6321 New Utrecht Ave, Brooklyn, NY 11219-5425 | 2016-12-23 |
| 1629448196 | Patrick Colin Campbell | Chiropractor | 125 High Rock Ave Ste 100, Saratoga Springs, NY 12866-2307 | 2015-09-28 |
| 1346644150 | Patrick James Campbell | Pharmacist | 8280 N Cortaro Rd, Tucson, AZ 85743-9393 | 2014-10-22 |
| Street Address |
1494 AVOCADO AVE |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-6532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093263873 | Kaitlin Lassen | Physician Assistant | 8057 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8565 | 2016-09-21 |
| 1386815835 | Jessica L Boudreaux-milligan | Physician Assistant | 2290 W Eau Gallie Blvd Ste 210b, Melbourne, FL 32935 | 2008-03-12 |
| 1013106376 | Sabrina Wu Staples | Physician Assistant | 3337 Hoofprint Dr, Melbourne, FL 32940-2304 | 2007-10-23 |
| 1528032547 | David A Harris | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901 | 2006-02-15 |
| 1184618233 | George David Mccullough | Physician Assistant | 1051 S Hickory St, Ste A, Melbourne, FL 32901-1962 | 2005-09-06 |
| 1255877981 | Michael Paul Teepe | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901-3235 | 2017-01-19 |
| 1336597137 | Barbara Suzanne Coleman | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901-3235 | 2016-06-02 |
| 1144687534 | Alexis Best | Physician Assistant | 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 | 2016-01-15 |
| 1346662103 | Casey W Langel | Physician Assistant | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5594 | 2014-01-14 |
| 1538501879 | Jennifer J Odom | Physician Assistant | 1350 Hickory St, Melbourne, FL 32901-3224 | 2013-07-29 |
| Find all providers in MELBOURNE | ||||
Please comment or provide details below to improve the information on MR. PATRICK GENE CAMPBELL.
| 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.