KEITH EDWARD CAMPBELL (NPI# 1598899445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598899445 |
| Entity Type | Individual |
| Full Name | KEITH EDWARD CAMPBELL |
| Credential | PA-C |
| Practice Address |
11521 Ranch Rd 620 N Austin TX 78726-1139 |
| Mailing Address |
9 Greenway Plz Houston TX 77046-0905 |
| Practice Telephone | 5126870556 |
| Practice Fax Number | 5126870560 |
| Mailing Telephone | 8666077334 |
| Mailing Fax Number | 7133584801 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2009-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA05191 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679717599 | Keith Campbell | Internal Medicine | 62626 Sparrow Hawk Cir, Bend, OR 97701-6788 | 2009-04-22 |
| 1245363050 | Keith E Campbell | Dentist | 212 Saybrook Rd, Higganum, CT 06441-4100 | 2007-03-13 |
| 1013074715 | Keith Allan Campbell | Family Medicine | 11221 John Wycliffe Blvd, Orlando, FL 32832-7013 | 2007-01-02 |
| 1518074939 | Keith Sean Campbell | Surgery | 1105 Scenic Dr, Knoxville, TN 37919-7643 | 2006-08-23 |
| 1659331742 | Keith E. Campbell | Surgery | 431 Marilyn Ln, Alcoa, TN 37701-2118 | 2006-03-24 |
| 1538773130 | Keith Campbell | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| 1073792719 | Keith Mark Campbell | Counselor | 145 Remount Rd, Charlotte, NC 28203-5013 | 2007-10-30 |
| 1104964436 | Keith A Campbell | Psychologist | 1942 Nw Kearney St Ste 24, Portland, OR 97209-1465 | 2007-02-01 |
| Street Address |
11521 RANCH RD 620 N |
| City | AUSTIN |
| State | TX |
| Zip Code | 78726-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548697998 | Medspring Prime, Pa | Clinic/Center | 11521 Ranch Rd 620 N, Austin, TX 78726-1139 | 2013-10-01 |
| 1245427012 | Shannon Patteson | Nurse Practitioner | 11521 Ranch Rd 620 N, Austin, TX 78726-1139 | 2007-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104385152 | Meridian Preferred Network, LLC | Durable Medical Equipment & Medical Supplies | 11512 Tibee Drive, Austin, TX 78726 | 2019-03-19 |
| 1356709083 | Britex | Dentist | 10200 Boulder Lane, #300, Austin, TX 78726 | 2016-02-09 |
| 1205224490 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7300 N Fm 620, Austin, TX 78726 | 2014-12-23 |
| 1881933372 | Judy Ann Adan | Dentist | 8300 N Fm 620, Bldg G Ste 100, Austin, TX 78726 | 2013-02-04 |
| 1295974236 | Brendan Booker Loehr | Dentist | Britex Dental 10200 Boulder Lane, Suite 300, Austin, TX 78726 | 2009-02-16 |
| 1174730980 | David Eugene Helms | Counselor | 12112 Anderson Mill Rd, Bldg 12 Ste E, Austin, TX 78726 | 2007-05-17 |
| 1013037480 | Four Points Dental Pa | Dentist | 7301 North Fm 620, Suite 150, Austin, TX 78726 | 2007-03-30 |
| 1043329469 | H-e-b, Lp | Clinical Medical Laboratory | 7301 N Fm 620, Austin, TX 78726 | 2006-08-30 |
| 1063521037 | H-e-b, Lp | Clinical Medical Laboratory | 11521 North Fm 620 Building A, Austin, TX 78726 | 2006-08-30 |
| 1518934413 | Thomas Gretzinger | Dermatology | 12211 Fm 2769, Austin, TX 78726 | 2006-03-01 |
| Find all providers in zip 78726 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1366050353 | Katherine Elizabeth Mankus | Physician Assistant | 12319 N Mopac Expy Ste 250, Austin, TX 78758-2499 | 2020-07-16 |
| 1629695044 | Brittany Ho | Physician Assistant | 12601 Scofield Farms Dr, Austin, TX 78727-4542 | 2020-07-01 |
| 1679197925 | Malia Scott | Physician Assistant | 2217 Park Bend Dr, Austin, TX 78758-5365 | 2020-06-02 |
| 1659992451 | Christopher Kent Brown | Physician Assistant | 2200 W 35th St Bldg 8, Austin, TX 78703-1222 | 2020-05-03 |
| 1982236550 | Stephen Young | Physician Assistant | 10001 S Ih 35 Ste 320, Austin, TX 78747-1705 | 2020-02-11 |
| 1528608908 | Megan Paige Sutphin | Physician Assistant | 1333 Shore District Dr Apt 1655, Austin, TX 78741-1317 | 2020-01-13 |
| 1235771403 | Central Ortho Assists Pllc | Physician Assistant | 501 Congress, Suite 150, Austin, TX 78701 | 2019-10-09 |
| 1619528569 | Lauren Michelle Feierstein | Physician Assistant | 4505 Duval St Apt 115, Austin, TX 78751-3225 | 2019-09-23 |
| Find all providers in AUSTIN | ||||
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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.