CHARLES LARRY CAMPBELL JR. (NPI# 1205921574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205921574 |
| Entity Type | Individual |
| Full Name | CHARLES LARRY CAMPBELL JR. |
| Credential | M.D. |
| Practice Address |
979 E. Third Street Suite #c-520 Chattanooga TN 37403 |
| Mailing Address |
975 E. Third Street Attn: Provider Enrollment Chattanooga TN 37403-2589 |
| Practice Telephone | 4237785661 |
| Practice Fax Number | 4237785664 |
| Mailing Telephone | 4237785661 |
| Mailing Fax Number | 4237785664 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
52031 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
52031 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114259389 | Charles Ladoue Campbell | General Practice | 1457 Woodside Ct S, Chesapeake, VA 23320-2723 | 2010-02-12 |
| 1740513431 | Charles Douglas Campbell Jr. | Driver | 2018 217th St, Sauk Village, IL 60411-4521 | 2009-09-11 |
| 1730205295 | Charles Emery Campbell | Dentist | 2426 Center St, Deer Park, TX 77536-4902 | 2007-03-22 |
| 1619069622 | Charles Walton Campbell | Family Medicine | 102 Carrollton St, Lexington, MS 39095 | 2006-09-28 |
| 1730280769 | Charles Edward Campbell IIi | Dentist | 151 W Airport Blvd, Pensacola, FL 32505 | 2006-09-25 |
| 1407967904 | Charles Peter Campbell | Pharmacist | 1606 Woodside Ave, Essexville, MI 48732-1459 | 2006-08-31 |
| 1154395705 | Charles H Campbell | Ophthalmology | 5540 Saratoga Blvd, Suite 200, Corpus Christi, TX 78413-2953 | 2006-02-13 |
| 1114929486 | Charles Whitfield Campbell Jr. | Family Medicine | 86 S Cobb Dr Se, Mail Drop 0454, Marietta, GA 30063-0454 | 2005-06-01 |
| 1578068334 | Charles Frank Campbell | Student in an Organized Health Care Education/Training Program | 800 Rose St # C-246, Lexington, KY 40536-0293 | 2018-03-26 |
| 1952777088 | Charles Wellington Campbell | Nurse Anesthetist, Certified Registered | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2015-08-12 |
| Street Address |
979 E. THIRD STREET SUITE #C-520 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909763 | Edwin J Rao | Internal Medicine | 979 E. Third Street, Suite #c-735, Chattanooga, TN 37403 | 2005-08-11 |
| 1235523234 | Ernest Brandt | Nurse Practitioner | 979 E. Third Street, Suite C-520, Chattanooga, TN 37403-2147 | 2015-03-27 |
| 1598191025 | Donna Reed Duff | Nurse Practitioner | 979 E. Third Street, Suite # B-601, Chattanooga, TN 37403 | 2013-09-16 |
| 1215223722 | Niraj Niraula | Internal Medicine | 979 E. Third Street, Suite #c-735, Chattanooga, TN 37403-2141 | 2011-06-22 |
| 1417247453 | Megan E. Skorupa Stevens | Psychiatry & Neurology | 979 E. Third Street, Suite # C-830, Chattanooga, TN 37403 | 2011-04-11 |
| 1811212392 | Gena L Thompson | Physician Assistant | 979 E. Third Street, Suite #c-825, Chattanooga, TN 37403 | 2010-03-29 |
| 1275796575 | Amanda May Tedstrom | Internal Medicine | 979 E. Third Street, Suite #c-620, Chattanooga, TN 37403 | 2008-07-07 |
| 1780845032 | Harish Manyam | Internal Medicine | 979 E. Third Street, Suite # C-520, Chattanooga, TN 37403 | 2008-06-19 |
| 1629248505 | Shanee D. Owens | Registered Nurse | 979 E. Third Street, Suite# B.601, Chattanooga, TN 37403 | 2008-03-06 |
| 1427248756 | Dharmendrakumar A. Patel | Internal Medicine | 979 E. Third Street, Suite #c-520, Chattanooga, TN 37403 | 2007-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| Taxonomy Code | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336370451 | Mamatha Pinninti | Internal Medicine | 1840 Medical Center Pkwy Ste 201, Murfreesboro, TN 37129-3237 | 2009-08-06 |
| 1467532705 | Jeffrey Towbin | Internal Medicine | 51 N Dunlap St Fl 2, Memphis, TN 38105 | 2006-10-17 |
| City | CHATTANOOGA |
| Zip Code | 37403 |
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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.