DR. LYSANNE CAMPEAU (NPI# 1679848592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679848592 |
Entity Type | Individual |
Full Name | DR. LYSANNE CAMPEAU |
Credential | M.D.C.M. |
Practice Address |
391 Technology Way Winston Salem NC 27101-3074 |
Practice Telephone | 3367137293 |
Enumeration Date | 2012-03-09 |
Last Update Date | 2012-04-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 2010-00932 | NC | Allopathic & Osteopathic Physicians |
Street Address |
391 TECHNOLOGY WAY |
City | WINSTON SALEM |
State | NC |
Zip Code | 27101-3074 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
Find all providers in zip 27101 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528673423 | Meredith Abernethy | Urology | 140 Kimel Park Dr # 100, Winston Salem, NC 27103-6184 | 2020-09-09 |
1144887019 | Shuo Liu | Urology | Department of Urology Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-05-25 |
1275736795 | Forsyth Memorial Hospital Inc | Urology | 2010 Baldwin Lane, Winston Salem, NC 27103 | 2007-06-11 |
1972566297 | Oliver James Hart Jr. | Urology | 180 Kimel Park Dr Ste 110, Winston Salem, NC 27103-6970 | 2006-04-08 |
1477540466 | John J Smith IIi | Urology | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2005-10-04 |
1477549707 | Robert James Evans IIi | Urology | 140 Charlois Blvd, Winston Salem, NC 27103-1522 | 2005-09-22 |
1548877939 | Sarah Katherine Ebersold | Urology | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2020-09-29 |
1235629890 | Forsyth Memorial Hospital, Inc | Urology | 140 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6160 | 2018-05-18 |
1992161665 | Novant Medical Group Inc | Urology | 140 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6160 | 2016-01-11 |
1518345784 | Cornerstone Health Care, LLC | Urology | 1665 Westbrook Plaza Dr, Winston Salem, NC 27103-2993 | 2015-05-08 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27101 |
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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.