DR. JEREMY CAMPBELL (NPI# 1477533826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477533826 |
| Entity Type | Individual |
| Full Name | DR. JEREMY CAMPBELL |
| Credential | DO |
| Practice Address |
1930 Tamarack Rd Newark OH 43055-2303 |
| Practice Telephone | 7405227600 |
| Practice Fax Number | 7405226399 |
| Mailing Telephone | 7405227600 |
| Mailing Fax Number | 7405226399 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2009-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34007871 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2488544 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053742544 | Jeremy Todd Campbell | Counselor | 826 Deleware Ave, Fountain Hill, PA 18015 | 2013-12-09 |
| 1710088711 | Jeremy Shane Campbell | Optometrist | 14378 Highway 43, Russellville, AL 35653-2568 | 2006-09-25 |
| 1063812162 | Jeremy Brian Campbell | Physical Therapist | 227 E Ontario St, Suite 201, Chicago, IL 60611-3385 | 2014-08-26 |
| 1649691148 | Jeremy Campbell | Emergency Medicine | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2013-12-31 |
| 1417296575 | Jeremy Levi Campbell | Physical Therapist | 3446 Masonic Dr, Alexandria, LA 71301-3615 | 2013-02-11 |
| 1043587223 | Jeremy Campbell | Pharmacist | 6365 I 55 N, Jackson, MS 39213-9742 | 2011-11-16 |
| 1417255787 | Jeremy Fane Campbell | Acupuncturist | 621 Water St, Santa Cruz, CA 95060-4146 | 2011-03-10 |
| 1942506142 | Jeremy Campbell | Day Training/Habilitation Specialist | 5466 Spanish Moss Dr, Sparks, NV 89436-2660 | 2011-02-04 |
| 1194925669 | Jeremy H Campbell | Physical Therapist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2007-07-23 |
| 1841346368 | Jeremy S. Campbell | Physician Assistant | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2007-01-26 |
| Street Address |
1930 TAMARACK RD |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245210244 | Thomas Petryk | Family Medicine | 1930 Tamarack Rd, Newark, OH 43055-2303 | 2006-01-18 |
| 1215535018 | Hannah Elizabeth Pellett | Nurse Practitioner | 1930 Tamarack Rd, Newark, OH 43055-2303 | 2020-10-14 |
| 1467948653 | Tiffany Smith | Nurse Practitioner | 1930 Tamarack Rd, Newark, OH 43055-2303 | 2018-07-10 |
| 1962901488 | Loren Lea Keith | Nurse Practitioner | 1930 Tamarack Rd, Newark, OH 43055-2303 | 2018-02-10 |
| 1952828873 | Kayla Powell | Nurse Practitioner | 1930 Tamarack Rd, Newark, OH 43055-2303 | 2017-08-23 |
| 1093256216 | Maria Campolo May | Internal Medicine | 1930 Tamarack Rd, Newark, OH 43055-2303 | 2017-03-20 |
| 1306230255 | Alexander Campolo | Family Medicine | 1930 Tamarack Rd, Newark, OH 43055-2303 | 2015-03-27 |
| 1013347608 | Courtney Lyn Garvin | Physician Assistant | 1930 Tamarack Rd, Newark, OH 43055-2303 | 2013-11-18 |
| 1619264488 | Lisa Marie Karres | Family Medicine | 1930 Tamarack Rd, Newark, OH 43055-2303 | 2011-06-30 |
| 1477717486 | Christina J Walker | Acupuncturist | 1930 Tamarack Rd, Newark, OH 43055-2303 | 2008-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
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| 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 |
|---|---|---|---|---|
| 1104461763 | Ginna Elizabeth Keil | Family Medicine | 16 Polly Drummond Shpg Ctr Ste 2, Newark, DE 19711-4861 | 2019-11-07 |
| 1386290609 | Corisa Mccloud | Family Medicine | 1025 Lawnview Ave, Newark, OH 43055-2611 | 2019-08-13 |
| 1811408172 | Bmg Newark LLC | Family Medicine | 794 Mount Prospect Ave Fl 2, Newark, NJ 07104-3221 | 2017-10-13 |
| 1982093852 | Physicians Care of Newark, Inc | Family Medicine | 68 Omega Dr, Suite D, Newark, DE 19713-2063 | 2015-01-15 |
| 1316365646 | Emmanuelle Ruocco | Family Medicine | 90 Bergen St Ste 300, Newark, NJ 07103-2425 | 2014-04-03 |
| 1366886368 | Amanda J Taylor | Family Medicine | 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 | 2013-04-20 |
| 1033477104 | Ironbound Family Medicine LLC | Family Medicine | 154 Van Buren St, 1st Floor, Newark, NJ 07105-2984 | 2012-04-26 |
| 1164790002 | St. Francis Hospital, Inc | Family Medicine | 1220 Capitol Trl, Newark, DE 19711-3924 | 2011-12-07 |
| 1255624896 | Carlos Alfonso Sanchez | Family Medicine | 617 Broad St, Newark, NJ 07102-4403 | 2011-05-16 |
| 1306072947 | Glenda Albizu | Family Medicine | 300 Biddle Ave Ste 200, Newark, DE 19702 | 2009-06-10 |
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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.