ERIC J CAMPBELL (NPI# 1861482887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861482887 |
| Entity Type | Individual |
| Full Name | ERIC J CAMPBELL |
| Credential | PA-C |
| Practice Address |
1701 S Renaissance Blvd Suite 110 Edmond OK 73013-3084 |
| Practice Telephone | 4058444978 |
| Practice Fax Number | 4058440562 |
| Mailing Telephone | 4058444978 |
| Mailing Fax Number | 4058440562 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2013-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
821 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100138410B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215251665 | Eric Joel Campbell | Technician/Technologist | 19510 Ne 8th St, Camas, WA 98607-9252 | 2010-03-15 |
| 1568641892 | Eric E Campbell | Chiropractor | 34740 Via Carnaghi, Wildomar, CA 92595-7746 | 2007-11-02 |
| 1033761051 | Eric Shannon Campbell | Physical Therapist | 1633 Hillview Dr, Elizabethton, TN 37643-4115 | 2019-07-10 |
| 1275022410 | Eric W. Campbell | Dietitian, Registered | 2093 Henry Tecklenburg Dr Ste 300e, Charleston, SC 29414-5743 | 2018-05-03 |
| 1720326259 | Eric Andrew Campbell | Physical Therapy Assistant | 206 Port Neal Rd, Sergeant Bluff, IA 51054-8098 | 2013-01-17 |
| 1124397575 | Eric M Campbell | Physician Assistant | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2011-12-14 |
| 1871527143 | Eric S Campbell | Dentist | 9317 Leesville Rd, Suite 105, Raleigh, NC 27613-7515 | 2006-07-10 |
| 1982676458 | Eric F Campbell | Internal Medicine | 4000 Hempfield Plaza Blvd, Suite 963, Greensburg, PA 15601-1483 | 2006-02-07 |
| Street Address |
1701 S RENAISSANCE BLVD SUITE 110 |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-3084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003092446 | Dinah Bess L'heureux | Physician Assistant | 1405 Nw 150th St, Edmond, OK 73013-1305 | 2008-01-16 |
| 1033179106 | Amanda Lynn Bruschi | Physician Assistant | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336779206 | John Nelson Lazenby IIi | Physician Assistant | 4 E Clark Bass Blvd Ste 302, Mcalester, OK 74501-4269 | 2020-01-20 |
| 1578025094 | Shawna Rose Liszewski | Physician Assistant | 6767 S Yale Ave Ste A, Tulsa, OK 74136-3302 | 2019-04-03 |
| 1417418666 | Andrea J Caygill | Physician Assistant | 216 N 20th St, Collinsville, OK 74021-1605 | 2019-03-29 |
| 1093290132 | Nisha Panta | Physician Assistant | 4120 W Memorial Rd # 300, Oklahoma City, OK 73120-9322 | 2018-09-25 |
| 1265920565 | Elite Surgical Assisting, LLC | Physician Assistant | 2924 S 98th East Ave, Tulsa, OK 74129-4407 | 2018-04-23 |
| 1417472259 | Brooke Javon Denton | Physician Assistant | 2924 S. 98th East Ave, Tulsa, OK 74129 | 2017-08-12 |
| 1104216662 | Morgan Hanni | Physician Assistant | 3520 Nw 20th St, Oklahoma City, OK 73107-2818 | 2015-02-04 |
| 1790103455 | A Cut Above Surgical Assisting LLC | Physician Assistant | 6313 E Commercial St, Broken Arrow, OK 74014-6981 | 2014-03-31 |
| 1518204056 | Dustin William Tims | Physician Assistant | 11317 S Western Ave Ste 300, Oklahoma City, OK 73170-5848 | 2013-01-03 |
| 1265797781 | Rebecca Lynn Painter | Physician Assistant | 9915 E 82nd Pl, Tulsa, OK 74133-4557 | 2012-07-10 |
| Find all providers with the same taxonomy | ||||
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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.