THERESE J CAMPBELL (NPI# 1205823663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205823663 |
| Entity Type | Individual |
| Full Name | THERESE J CAMPBELL |
| Credential | P.A. |
| Practice Address |
1301 S Main St Ottawa KS 66067-3537 |
| Practice Telephone | 7852298200 |
| Practice Fax Number | 7852298419 |
| Mailing Telephone | 7852298200 |
| Mailing Fax Number | 7852298419 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2011-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
15-00718 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1301 S MAIN ST |
| City | OTTAWA |
| State | KS |
| Zip Code | 66067-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477545671 | Rodney Tay Mccalla | Surgery | 1301 S Main St, Ottawa, KS 66067-3537 | 2005-08-16 |
| 1407319957 | Adventhealth Ransom Memorial, Inc. | Family Medicine | 1301 S Main St, Ottawa, KS 66067-3537 | 2019-04-11 |
| 1972063758 | Adventhealth Ransom Memorial, Inc. | General Acute Care Hospital | 1301 S Main St, Ottawa, KS 66067-3537 | 2019-03-20 |
| 1659844272 | Kristyn Watts | Specialist/Technologist | 1301 S Main St, Ottawa, KS 66067-3537 | 2019-01-07 |
| 1760725154 | David Patrick Bowers Jr. | Pharmacist | 1301 S Main St, Ottawa, KS 66067-3537 | 2013-04-03 |
| 1962713545 | Brenda Lynn Pfizenmaier | Dietitian, Registered | 1301 S Main St, Ottawa, KS 66067-3537 | 2010-06-29 |
| 1811101652 | Ransom Memorial Hospital | Medicare Defined Swing Bed Unit | 1301 S Main St, Ottawa, KS 66067-3537 | 2007-05-10 |
| 1003030875 | Nancy Ann Falkner | Physical Therapist | 1301 S Main St, Ottawa, KS 66067-3537 | 2007-04-12 |
| 1265551873 | Farhan Ahmed Sheikh | Psychiatry & Neurology | 1301 S Main St, Ottawa, KS 66067-3537 | 2007-03-28 |
| 1164509063 | Christine A Stewart | Physical Therapist | 1301 S Main St, Ottawa, KS 66067-3537 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482870 | Katie Jean Turpin | Occupational Therapist | 3901 S Main St, Ottawa, KS 66067 | 2020-03-18 |
| 1619526464 | Jennifer Raybern | Specialist/Technologist | 1001 S Cedar St, Ottawa, KS 66067 | 2019-09-04 |
| 1508419938 | Custom Dental of Ottawa, Pa | Clinic/Center | 2030 S Princeton St, Ottawa, KS 66067 | 2019-07-24 |
| 1861948507 | Jeffrey Byrne Kelley | Pharmacist | 2101 S Princeton Rd, Ottawa, KS 66067 | 2016-09-01 |
| 1619185188 | Vintage Park At Ottawa LLC | Assisted Living Facility | 2250 S Elm St, Ottawa, KS 66067 | 2007-05-18 |
| 1356423495 | Ottawa Oral Surgery Lc | Dentist | 107 E 23rd St, Ste 3 Ottawa Oral Surgery Lc, Ottawa, KS 66067 | 2006-10-19 |
| 1669564332 | Sandra K Staneart | Nurse Practitioner | 1302 South Main St, Suite 1, Ottawa, KS 66067 | 2006-09-29 |
| 1467553214 | Nancy L Pauw | Social Worker | 2476 Reno Rd, Ottawa, KS 66067 | 2006-09-26 |
| 1700847043 | T.a. Rainbolt, Dds, P.a. | Dentist | 1334 S. Main Street, Ottawa, KS 66067 | 2006-03-28 |
| 1659341634 | Milton Laverne Sampson | Nurse Anesthetist, Certified Registered | 1301 S Main, Ottawa, KS 66067 | 2006-01-24 |
| Find all providers in zip 66067 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093702094 | Cheng C Hsieh | Physician Assistant | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277703 | Riann Paige Tyree | Physician Assistant | 724 W Lincoln Ave, Greensburg, KS 67054-2522 | 2020-05-20 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1912408717 | Alyssa Ann Farrell | Physician Assistant | 235 W Vine St., Dighton, KS 67839 | 2018-02-27 |
| 1740790500 | Tory Christopher Fisher | Physician Assistant | 22450 S Harrison St Ste 100, Spring Hill, KS 66083-8882 | 2017-10-06 |
| 1619407871 | Lisa Raylene Steers | Physician Assistant | Po Box 10, Hugoton, KS 67951-0010 | 2017-06-19 |
| 1922547371 | Anna Ruelberg | Physician Assistant | 4921 W 18th Street, Lawrence, KS 66047-2090 | 2017-02-17 |
| 1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
| 1598135808 | Tracy Hoelting | Physician Assistant | 1150 N 75th Pl Ste 200, Kansas City, KS 66112-2466 | 2015-09-29 |
| 1437409901 | Crystal A Nelson | Physician Assistant | 9350 E 35th St N, Ste 101, Wichita, KS 67226 | 2012-09-12 |
| 1306195193 | Jessica M Hughbanks | Physician Assistant | 101 Industrial Rd, Hillsboro, KS 67063-9602 | 2012-09-07 |
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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.