MISS SUSAN M CAMPBELL (NPI# 1194707125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194707125 |
| Entity Type | Individual |
| Full Name | MISS SUSAN M CAMPBELL |
| Credential | PAC |
| Practice Address |
2001 Crystal Spring Ave Sw Suite 201 Roanoke VA 24014-2462 |
| Practice Telephone | 5403445781 |
| Mailing Telephone | 5403445781 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0110001418 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356596605 | Susan Adams Campbell | Occupational Therapist | 205 Albemarle Rd, Brooklyn, NY 11218-2307 | 2008-11-28 |
| 1669660577 | Susan Elizabeth Campbell | Licensed Practical Nurse | 93 Lyndale Dr, Painesville, OH 44077-4939 | 2007-10-05 |
| 1568688281 | Susan A. Campbell | Acupuncturist | 3038 Fawnwood Dr, Ellicott City, MD 21042-2322 | 2007-04-18 |
| 1740308329 | Susan Louise Campbell | Dietitian, Registered | 6900 Ulmerton Rd, #51, Largo, FL 33771-4948 | 2007-03-26 |
| 1417061789 | Susan S. Campbell | Counselor | 965 S 100 W Ste 203, Logan, UT 84321-6071 | 2006-08-17 |
| 1134136625 | Susan B. Campbell | Pediatrics | 2201 Murphy Ave Suite 207, Nashville, TN 37203-1538 | 2006-08-01 |
| 1063413029 | Susan L Campbell | Advanced Practice Midwife | 2131 East State St., Athens, OH 45701 | 2005-08-02 |
| 1669005815 | Susan Marie Campbell | Occupational Therapist | 3452 Lake Lynda Dr Ste 200, Orlando, FL 32817-1481 | 2020-02-17 |
| 1891337952 | Susan Campbell | Nurse Practitioner | 30 Lafayette Sq Ste 109, Vernon, CT 06066-4554 | 2019-10-10 |
| 1972950939 | Susan Campbell | Nurse Practitioner | 1376 Highway 36, Hazlet, NJ 07730-1716 | 2016-05-19 |
| Street Address |
2001 CRYSTAL SPRING AVE SW SUITE 201 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-2462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871597625 | Jacek S Slowikowski | Specialist | 2001 Crystal Spring Ave Sw, Ste 300, Roanoke, VA 24014-2465 | 2005-06-09 |
| 1588110258 | Chs, Inc | Public Health or Welfare | 2001 Crystal Spring Ave Sw, Ste 110, Roanoke, VA 24014-2462 | 2016-08-31 |
| 1790130268 | Denise Jones | Nurse Practitioner | 2001 Crystal Spring Ave Sw, Suite 203, Roanoke, VA 24014-2462 | 2016-05-03 |
| 1619330495 | Sarah Slough Watkins | Nurse Practitioner | 2001 Crystal Spring Ave Sw, Roanoke, VA 24014-2462 | 2016-03-30 |
| 1952773855 | Molly P Camper | Nurse Practitioner | 2001 Crystal Spring Ave Sw, Suite 203, Roanoke, VA 24014-2462 | 2015-10-30 |
| 1558797522 | Janna Erlien | Physician Assistant | 2001 Crystal Spring Ave Sw, Suite 201, Roanoke, VA 24014-2462 | 2013-09-22 |
| 1942632344 | Kelly R Link | Nurse Practitioner | 2001 Crystal Spring Ave Sw, Suite 205, Roanoke, VA 24014-2462 | 2013-08-07 |
| 1396183349 | Crystal Nguyen Truong | Internal Medicine | 2001 Crystal Spring Ave Sw, Roanoke, VA 24014-2462 | 2013-06-12 |
| 1467895227 | Leah W Mayne | Social Worker | 2001 Crystal Spring Ave Sw, Suite 302, Roanoke, VA 24014-2462 | 2013-04-11 |
| 1053644245 | Carmen Helene Salmon | Physician Assistant | 2001 Crystal Spring Ave Sw, Suite 201, Roanoke, VA 24014-2462 | 2009-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679013536 | S4 Sand Pllc | Physician Assistant | 3909 Yarberry Ct, Roanoke, TX 76262-3355 | 2017-02-26 |
| 1952780496 | Laura Rosalie Tiffany-harrod | Physician Assistant | 14636 Shave Lake Drive, Roanoke, TX 76262 | 2015-05-28 |
| 1770832388 | Hillery Gabrielle Key | Physician Assistant | 13709 Ponderosa Ranch Rd, Roanoke, TX 76262-4535 | 2012-08-29 |
| 1275041527 | Jennifer Caroline Dudley | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-19 |
| 1801304407 | Tyler Bryce Kemp | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-17 |
| 1194231449 | Chelsea Behetherland Greenspan | Physician Assistant | 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 | 2017-12-22 |
| 1548708670 | Mackenzie Meador Patterson | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-02-09 |
| 1013454776 | Kathryn Conrad Hoyt | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-01-19 |
| 1578009775 | Kathryn Lyon Tolmie | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-01-11 |
| 1518401272 | Brian Buccola | Physician Assistant | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2016-12-14 |
| Find all providers in ROANOKE | ||||
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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.