LACHELLE CAMPBELL (NPI# 1184870271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184870271 |
| Entity Type | Individual |
| Full Name | LACHELLE CAMPBELL |
| Credential | M.D. |
| Practice Address |
504 E Ridgeville Blvd Ste 120 Mount Airy MD 21771-5942 |
| Mailing Address |
13540 Hull Street Rd Midlothian VA 23112-2107 |
| Practice Telephone | 2402156370 |
| Mailing Telephone | 8047396142 |
| Mailing Fax Number | 8047398923 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2019-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D86104 | MD | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0101252713 | VA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2011-01176 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | BP10030920 | TX | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | GROUP PTAN | C09633 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13540 Hull Street Rd, Midlothian, VA 231122107 | 8047396142 | 8047398923 |
| Street Address |
504 E RIDGEVILLE BLVD STE 120 |
| City | MOUNT AIRY |
| State | MD |
| Zip Code | 21771-5942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890306 | Jose C Acol | Family Medicine | 504 E Ridgeville Blvd Ste 120, Mount Airy, MD 21771-5942 | 2005-06-13 |
| 1457746406 | Alice Esame | Family Medicine | 504 E Ridgeville Blvd Ste 120, Mount Airy, MD 21771-5942 | 2015-04-06 |
| 1063743250 | Marilyn Radcliffe Marshall | Physician Assistant | 504 E Ridgeville Blvd Ste 120, Mount Airy, MD 21771 | 2010-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699026567 | Laura Morlok | Counselor | 18 Park Avenue, Mount Airy, MD 21771 | 2012-10-01 |
| 1902112352 | Sun M Park | Pharmacist | 415 East Ridgeville Blvd, Rite Aid #3822, Mt Airy, MD 21771 | 2010-08-24 |
| 1255589743 | Ronald Giles Manzer | Dentist | 106 Prospect Rd., Suite 5, Mt. Airy, MD 21771 | 2008-09-09 |
| 1689834079 | Megan Marshall Putman | Physician Assistant | 504 E. Ridgeville Blvd, Suite 120, Mt. Airy, MD 21771 | 2008-06-10 |
| 1215075924 | Karen Elizabeth Polichene | Chiropractor | 3039 Gillis Falls Rd, Mt Airy, MD 21771 | 2007-02-02 |
| 1710040985 | Hali Anderson | Physical Therapist | 431 E Ridgeville Blvd, Mt Airy, MD 21771 | 2006-12-19 |
| 1831288786 | Ronald E Miller | Internal Medicine | 4 Culwell Drive, Mt Airy, MD 21771 | 2006-10-11 |
| 1679665624 | Peter James Mellon | Chiropractor | 13002 Penn Shop Road, Mt Airy, MD 21771 | 2006-09-28 |
| 1447222336 | Norman Franklin Fine | Optometrist | 1311 S. Main St. Ste 104, Mount Airy, MD 21771 | 2006-02-03 |
| 1922453109 | Jessica Medani | Internal Medicine | 504 E Ridgeville Blvd, Mount Airy, MD 21771 | 2016-04-26 |
| Find all providers in zip 21771 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083273056 | Gaps Health Nc | Family Medicine | 130 Chandler Hills Dr Ste 105, Mount Airy, NC 27030-8805 | 2019-06-12 |
| 1831392174 | Challie A Minton | Family Medicine | 113 Scenic Outlet Ln Ste 2, Mount Airy, NC 27030-9978 | 2007-06-06 |
| 1275636623 | Daniel Joseph Bernstein | Family Medicine | 1908 Caudle Dr, Ste. 100, Mount Airy, NC 27030-4321 | 2006-09-07 |
| 1750351557 | Glenn D Golaszewski | Family Medicine | 401 Technology Ln, Mount Airy, NC 27030-6692 | 2006-01-24 |
| 1457335002 | Vincent V. Miller | Family Medicine | 280 N Pointe Blvd, Mount Airy, NC 27030 | 2005-12-06 |
| 1477546620 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 910 Worth St, Foothills Primary Care, Mount Airy, NC 27030-4458 | 2005-08-23 |
| 1922009190 | Jose R Lopez | Family Medicine | 910 Worth Street, Foothills Primary Care, Mount Airy, NC 27030 | 2005-08-09 |
| 1467450296 | Lawrence Scott Gordon | Family Medicine | 301 Watersville Rd, Mount Airy, MD 21771-5513 | 2005-07-14 |
| 1962407254 | Jay Richard Seidler | Family Medicine | 865 W Lake Dr, Mount Airy, NC 27030-2157 | 2005-06-15 |
| 1801890306 | Jose C Acol | Family Medicine | 504 E Ridgeville Blvd Ste 120, Mount Airy, MD 21771-5942 | 2005-06-13 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 21771 |
Please comment or provide details below to improve the information on LACHELLE 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.