JEFFREY CAMPBELL (NPI# 1467816611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467816611 |
| Entity Type | Individual |
| Full Name | JEFFREY CAMPBELL |
| Practice Address |
300 Longwood Ave Boston MA 02115-5724 |
| Mailing Address |
111 Jersey St Apt 8 Boston MA 02215-4831 |
| Practice Telephone | 7203525030 |
| Mailing Telephone | 7203525030 |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2019-12-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
278287 | MA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Bmc Place Dowling 3 S Res Mailboxes, Menino Building, Boston Medical Center Dept of Pediatri, Boston, MA 02118 | 7203525030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013099639 | Jeffrey A Campbell | Dentist | 8401 Chagrin Rd Ste 11, Chagrin Falls, OH 44023-4702 | 2006-10-20 |
| 1518063585 | Jeffrey Alan Campbell | Anesthesiology | 1804 E 10th St, Jeffersonville, IN 47130-6016 | 2006-09-16 |
| 1710974332 | Jeffrey Paul Campbell | Otolaryngology | 730 Oakridge Blvd, Suite C, Lumberton, NC 28358-2324 | 2005-09-29 |
| 1013530971 | Jeffrey Campbell Jr. | Behavior Technician | 13101 W Washington Blvd, Los Angeles, CA 90066-5131 | 2020-05-26 |
| 1598226151 | Jeffrey Lee Campbell | Social Worker | 2101 Garner Rd Ste 107, Raleigh, NC 27610-4687 | 2019-03-27 |
| 1013423235 | Jeffrey Campbell | Student in an Organized Health Care Education/Training Program | 892 27th St, San Diego, CA 92154-1444 | 2017-12-26 |
| 1871932681 | Jeffrey Dallas Campbell | Dentist | 1027 2nd Ave, Worthington, MN 56187-2380 | 2013-06-14 |
| 1922445709 | Jeffrey Eric Campbell | Acupuncturist | 402 S Union St, Traverse City, MI 49684-5754 | 2013-06-03 |
| 1932546298 | Jeffrey Campbell | Physician Assistant | 9000 W Wisconsin Ave, Pediatric Emergency Medicine, Milwaukee, WI 53226-4874 | 2013-05-28 |
| 1386900793 | Jeffrey S Campbell | Pharmacist | 1493 Cambridge St, Cambridge, MA 02139 | 2012-04-10 |
| Street Address |
300 LONGWOOD AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667539 | Barry Grant Zallen | Pediatrics | 300 Longwood Ave, Children's Hospital, Au 105, Boston, MA 02115-5724 | 2005-05-23 |
| 1730780669 | Hannah Fraser | Registered Nurse | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-11-06 |
| 1164023776 | Hannah Brewer | Social Worker | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-11-02 |
| 1104423680 | Justin Matthias Hintze | Otolaryngology | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-10-07 |
| 1295340388 | Kathryn Theresa Moffa | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-15 |
| 1144835224 | Abby Elizabeth Bandi | Social Worker | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-15 |
| 1558976845 | Hilary Segar Garber | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-13 |
| 1063026003 | Lauren M Dilullo | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-08 |
| 1013521004 | Carl Britto | Student in an Organized Health Care Education/Training Program | 300 Longwood Ave, Boston, MA 02115-5737 | 2020-09-07 |
| 1760096887 | Rebecca Marie Leslie | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528442555 | Rotem Lapidot | Pediatrics | 670 Albany Streeet - 6th Floor, Pediatric Infectious Diseases-biosquare Lll; Boston Med, Boston, MA 02118 | 2015-07-20 |
| 1235250382 | Ouzama N Nicholson | Pediatrics | Partners Aids Research Center, 149 13th Street, Boston, MA 02119 | 2007-04-03 |
| 1851339139 | Edward J O'rourke | Pediatrics | 641 Huntington Avenue, Harvard Med School - Dept of Social Med, Boston, MA 02115 | 2006-06-02 |
| 1033728811 | Gilad Sherman | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-07-28 |
| 1780031773 | Melanie Dubois | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2016-05-19 |
| 1417319278 | Steven Siegel | Pediatrics | 300 Longwood Ave, Boston Children's Hospital, Boston, MA 02115-5724 | 2016-03-22 |
| 1932513892 | Fatima Al Dhaheri | Pediatrics | 300 Longwood Ave, Boston, MA 02115 | 2014-06-18 |
| 1891114211 | Joshua Christopher Herigon | Pediatrics | 300 Longwood Ave, Mailstop Bch 3103, Boston, MA 02115-5724 | 2014-04-14 |
| 1659711935 | Andrew Moss Lippa | Pediatrics | 300 Longwood Ave, Mailstop Bch 3103, Boston, MA 02115-5724 | 2013-07-01 |
| 1861734931 | Gabriella Sophia Lamb | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2013-03-26 |
| Find all providers in BOSTON | ||||
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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.