KEVIN MICHAEL CAMPBELL (NPI# 1558493049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558493049 |
Entity Type | Individual |
Full Name | KEVIN MICHAEL CAMPBELL |
Credential | M.D. |
Practice Address |
4707 Buckingham Ct Chester VA 23831-4261 |
Practice Telephone | 8047962300 |
Practice Fax Number | 8047514815 |
Mailing Telephone | 8047962300 |
Mailing Fax Number | 8047514815 |
Enumeration Date | 2007-03-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
0101037268 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 6741321 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356818314 | Kevin W Campbell | Dentist | Norfolk Naval Shipyard Bld 277, Portsmouth, VA 23709 | 2018-10-29 |
1205235629 | Kevin Campbell | Physical Therapy Assistant | 474 S Landmark Ave, Bloomington, IN 47403-5000 | 2014-08-21 |
1164731956 | Kevin James Campbell | Massage Therapist | 220 3rd Ave Ste 408, Havre, MT 59501-3554 | 2010-09-28 |
1346373651 | Kevin Thomas Campbell | Dentist | 6910 N Main St Unit 58, Granger, IN 46530-8412 | 2007-03-14 |
1992849780 | Kevin Scott Campbell Sr. | Prosthetist | 722 Louisiana Ave, Bogalusa, LA 70427 | 2007-02-16 |
1497833834 | Kevin S Campbell | Family Medicine | 200 Fort Sanders West Blvd Ste 304, Knoxville, TN 37922-3360 | 2006-11-02 |
1700820776 | Kevin G Campbell | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2006-06-16 |
1740281476 | Kevin Jon Campbell | Chiropractor | 118 Gateway Dr., North Sioux City, SD 57049-1427 | 2005-08-03 |
1376173567 | Kevin Campbell | Pharmacist | 6901 Preston Rd, Dallas, TX 75205-1186 | 2020-01-16 |
1104486745 | Kevin G Campbell | Behavior Technician | 625 The City Dr S Ste 120, Orange, CA 92868-3352 | 2019-06-17 |
Street Address |
4707 BUCKINGHAM CT |
City | CHESTER |
State | VA |
Zip Code | 23831-4261 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598851230 | Laina Jo Bourassa | Pediatrics | 4707 Buckingham Ct, Chester, VA 23831-4261 | 2006-10-04 |
1760962278 | Rachael M Daniels | Pediatrics | 4707 Buckingham Ct, Chester, VA 23831-4261 | 2018-08-15 |
1255774519 | Monica Kim Donohue | Pediatrics | 4707 Buckingham Ct, Chester, VA 23831 | 2013-04-16 |
1649398462 | Chester Pediatrics | Pediatrics | 4707 Buckingham Ct, Chester, VA 23831-4261 | 2007-03-27 |
1144352295 | Jean Gail Allen | Nurse Practitioner | 4707 Buckingham Ct, Chester, VA 23831-4261 | 2007-03-12 |
1003948324 | Elizabeth Mcgill Cross | Pediatrics | 4707 Buckingham Ct, Chester, VA 23831-4261 | 2007-03-12 |
1245362730 | Robert Steven Shayne | Pediatrics | 4707 Buckingham Ct, Chester, VA 23831-4261 | 2007-03-10 |
1366574857 | Kerri Anne Steele | Pediatrics | 4707 Buckingham Ct, Chester, VA 23831-4261 | 2007-03-10 |
1356473847 | Mark Mumford Polanshek | Pediatrics | 4707 Buckingham Ct, Chester, VA 23831-4261 | 2007-03-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
1396358610 | Ronica Williams | Clinical Nurse Specialist | 12200 Ironbridge Road, Chester, VA 23831 | 2020-08-26 |
1891332466 | Blossom Health Services LLC | Home Health | 11312 Ludgate Place, Chester, VA 23831 | 2019-12-03 |
1780144881 | Positive Life Behavioral Health Services | Community/Behavioral Health | 3740 West Hundred Road, Chester, VA 23831 | 2019-03-23 |
1093201766 | Susan Wade | Speech-Language Pathologist | The Crossings At Ironbridge, 6701 Ironbridge Pkwy, Chester, VA 23831 | 2018-07-06 |
1225530793 | Rachel Victoria Mullins | Speech-Language Pathologist | 5200 Ecoff Ave, Chester, VA 23831 | 2018-03-01 |
1194196923 | Elpidia Victoria Elliott | Occupational Therapist | 10600 Hamlin Way, Chester, VA 23831 | 2015-10-20 |
1558751750 | Welcome Home Family Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3931 Hamlin Creek Court, Chester, VA 23831 | 2015-01-27 |
1083019525 | Shwetha Rodrigues Dds PC | Preferred Provider Organization | 12517 Jefferson Davis Highway, Chester, VA 23831 | 2014-10-27 |
1659781631 | Advanced Orthopaedic Centers | Orthopaedic Surgery | 12200 Branders Creek Drive, Chester, VA 23831 | 2014-04-30 |
Find all providers in zip 23831 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760962278 | Rachael M Daniels | Pediatrics | 4707 Buckingham Ct, Chester, VA 23831-4261 | 2018-08-15 |
1548408123 | Health Access Network | Pediatrics | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2009-02-04 |
1902926892 | Health Access Network | Pediatrics | 30 Medical Center Blvd, Suite 205, Chester, PA 19013-3955 | 2007-04-02 |
1649398462 | Chester Pediatrics | Pediatrics | 4707 Buckingham Ct, Chester, VA 23831-4261 | 2007-03-27 |
1003948324 | Elizabeth Mcgill Cross | Pediatrics | 4707 Buckingham Ct, Chester, VA 23831-4261 | 2007-03-12 |
1245362730 | Robert Steven Shayne | Pediatrics | 4707 Buckingham Ct, Chester, VA 23831-4261 | 2007-03-10 |
1366574857 | Kerri Anne Steele | Pediatrics | 4707 Buckingham Ct, Chester, VA 23831-4261 | 2007-03-10 |
1356473847 | Mark Mumford Polanshek | Pediatrics | 4707 Buckingham Ct, Chester, VA 23831-4261 | 2007-03-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164869020 | Kyzwana N Caves | Pediatrics | 301 Riverview Ave Ste 3, Norfolk, VA 23510-1065 | 2013-05-31 |
1891814844 | East End Pediatrics, P.C. | Pediatrics | 4744 Finlay Street, Richmond, VA 23231 | 2007-03-29 |
1013042480 | Privia Medical Group, LLC | Pediatrics | 950 N Glebe Rd, Suite 4000, Arlington, VA 22203-1824 | 2007-02-23 |
1821133489 | John Stephen Zachary | Pediatrics | 1521 Huguenot Rd, Suite 101, Midlothian, VA 23113-2426 | 2007-02-21 |
1831246891 | William J. Mcaveney | Pediatrics | 221 Randolph St, Mineral, VA 23117-4493 | 2007-01-04 |
1619071149 | Irene Townsend | Pediatrics | 3605 Ferncliff Ave Nw, Roanoke, VA 24017-1411 | 2006-09-13 |
1447352018 | Richard Vichitr Chusuei | Pediatrics | 8373a Greensboro Dr, Mclean, VA 22102-3529 | 2006-09-02 |
1821105412 | Chang-kai Lilly Liu | Pediatrics | 8377a Greensboro Drive, Mclean, VA 22102-3529 | 2006-08-23 |
1356457774 | Patty Anne Chitwood | Pediatrics | Schiffert Health Center-virginia Tech, Nccomas Hall, Blacksburg, VA 24060 | 2006-08-21 |
1174637888 | Yasmin K. Anez | Pediatrics | 8365a Greensboro Dr, Mclean, VA 22102-3530 | 2006-08-18 |
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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.