MELODY RUTH CAMPBELL (NPI# 1639398530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639398530 |
Entity Type | Individual |
Full Name | MELODY RUTH CAMPBELL |
Other Name | MRS. MELODY CAMPBELL GOETTEMOELLER |
Credential | CNS |
Practice Address |
3535 Southern Blvd Kettering OH 45429-1221 |
Mailing Address |
9600 State Route 119 W Anna OH 45302-9633 |
Practice Telephone | 9373956010 |
Practice Fax Number | 9375227873 |
Mailing Telephone | 9373947242 |
Enumeration Date | 2007-04-25 |
Last Update Date | 2016-10-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SC0200X |
Clinical Nurse Specialist Specialization: Critical Care Medicine |
03932 | OH | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649651084 | Melody Grace Campbell | Occupational Therapy Assistant | 2001 Scenic Dr, Georgetown, TX 78626 | 2015-06-11 |
1083703417 | Melody Campbell | Occupational Therapist | 2500 Quantum Lakes Dr, Suite 108, Boynton Beach, FL 33426-8324 | 2006-10-12 |
Street Address |
3535 SOUTHERN BLVD |
City | KETTERING |
State | OH |
Zip Code | 45429-1221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134124183 | David M Brouhard | Anesthesiology | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2005-06-16 |
1245846757 | Rachel Henderson | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-09-21 |
1235745043 | Nipa Mukesh Patel | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1298 | 2020-09-17 |
1104437425 | Stephanie Elizabeth Nicholls | Hospitalist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-08-11 |
1346865144 | Anesthesia Pearls, LLC | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
1568087351 | Pearl Lee | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
1922631761 | Michael Patrick Lorey | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-02-20 |
1801446315 | Madison A Tate | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-09-17 |
1962058966 | Joshua Caleb Courlas | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-15 |
1134775273 | Jason Raymond Leigh | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
Find all providers in zip 45429 |
Taxonomy Code | 364SC0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144757303 | Ned Sormaz | Clinical Nurse Specialist | 9500 Euclid Ave # Hsb111, Cleveland, OH 44195-0001 | 2017-05-18 |
1003128398 | Marcia Elaine Belcher | Clinical Nurse Specialist | 7518 Spring Mill Dr, Canal Winchester, OH 43110-8831 | 2010-07-02 |
1235172453 | Lorraine Belle Fields | Clinical Nurse Specialist | 525 E. Market St., Summa Health System, Akron, OH 44309-2090 | 2006-06-14 |
1033731054 | Deborah Klein | Clinical Nurse Specialist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-05-13 |
1700322989 | Rhonda Teresa Brown | Clinical Nurse Specialist | 1020 Woodman Dr, Dayton, OH 45432 | 2017-01-12 |
1477999134 | Janet Bahle | Clinical Nurse Specialist | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2013-05-21 |
1164865465 | Stacy Lea Devol | Clinical Nurse Specialist | 400 Matthew St Ste 401, Marietta, OH 45750-1656 | 2013-04-17 |
1609113133 | Lisa Marie Dials | Clinical Nurse Specialist | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2013-01-03 |
1316250368 | Sheila Mary Chucta | Clinical Nurse Specialist | 1492 E Broad St, Columbus, OH 43205-1546 | 2010-07-20 |
1871764142 | Theresa A Sigsworth | Clinical Nurse Specialist | 25200 Center Ridge Rd, Suite 3400, Westlake, OH 44145-4141 | 2008-03-14 |
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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.