DR. MARY CHARMAINE ESTRELLA CAMPANA (NPI# 1821274267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821274267 |
| Entity Type | Individual |
| Full Name | DR. MARY CHARMAINE ESTRELLA CAMPANA |
| Credential | MD |
| Practice Address |
380 Hospital Drive, Building A Ste. 430 Macon GA 31217 |
| Mailing Address |
5400 S Rainbow Blvd Las Vegas NV 89118-1859 |
| Practice Telephone | 4787510367 |
| Mailing Telephone | 7028533565 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT21167 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
380 HOSPITAL DRIVE, BUILDING A STE. 430 |
| City | MACON |
| State | GA |
| Zip Code | 31217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427685171 | Jacqueline Melvin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2020-03-24 |
| 1831659184 | Clare Amira Omatsone | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217-8017 | 2019-03-22 |
| 1174083430 | Ashish Sharma | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2019-03-22 |
| 1891255048 | Ramin Karimi | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2019-03-22 |
| 1093202475 | Jacob Hanna | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
| 1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
| 1578578027 | William C Shipp | Dentist | 238 Emery Hwy, Macon, GA 31217 | 2006-07-30 |
| Find all providers in zip 31217 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760005664 | Jackson Rodgers | Student in an Organized Health Care Education/Training Program | 5a Whispering Pines Ct, Macon, IL 62544-7218 | 2020-05-26 |
| 1548882780 | Lauren Elizabeth Lewis | Student in an Organized Health Care Education/Training Program | 790 1st St, Macon, GA 31201-6874 | 2020-05-11 |
| 1639708654 | Nehal Ninad | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street Ln, Macon, GA 31201-2168 | 2020-04-02 |
| 1346878279 | Albarra Younis | Student in an Organized Health Care Education/Training Program | 6445 Stapleton Rd, Macon, GA 31216-5234 | 2020-03-27 |
| 1396372496 | Joseph Martin Roberts | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street Ln # 42, Macon, GA 31201-2168 | 2020-03-26 |
| 1336775204 | Christopher Robin Denham | Student in an Organized Health Care Education/Training Program | 380 Hospital Dr Bldg A, Macon, GA 31217-8001 | 2020-03-23 |
| 1144852856 | Rachel Kathryn Albrecht | Student in an Organized Health Care Education/Training Program | 1500 College St, Macon, GA 31207-1500 | 2020-02-11 |
| 1710519616 | Elisha Scott | Student in an Organized Health Care Education/Training Program | 1345 Hardeman Ave Apt 415a, Macon, GA 31201-4403 | 2020-02-08 |
| 1871125179 | Aaron Daniel Brown | Student in an Organized Health Care Education/Training Program | 804 Locust St, Macon, MO 63552-1846 | 2020-02-05 |
| 1316593262 | Nicole Theresia Mette | Student in an Organized Health Care Education/Training Program | 1550 College St Mercer University School of Medicine, Macon, GA 31207-0001 | 2019-08-16 |
| Find all providers in MACON | ||||
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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.