Jeremy R Campbell (NPI# 1477533826, PAC ID# 3779558812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1477533826 |
| PAC ID by PECOS | 3779558812 |
| Professional Enrollment ID | I20040831001555 |
| Full Name | Jeremy R Campbell |
| Organization Legal Name | MEDICAL AND SURGICAL ASSOCIATES INC |
| Address |
1930 Tamarack Rd Newark OH 43055-2303 |
| Phone Number | 7405227600 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5890760938 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360218 | LICKING MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1930 Tamarack Rd, Newark, OH 43055-2303 | 7405227600 | MEDICAL AND SURGICAL ASSOCIATES INC |
| Organization Legal Name | MEDICAL AND SURGICAL ASSOCIATES INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Campolo | Family Medicine | Medical and Surgical Associates Inc | 1930 Tamarack Rd, Newark, OH 43055-2303 |
| Thomas Petryk | Family Medicine | Medical and Surgical Associates Inc | 1930 Tamarack Rd, Newark, OH 43055-2303 |
| Alexander J Campolo | Internal Medicine | Medical and Surgical Associates Inc | 1930 Tamarack Rd, Newark, OH 43055-2303 |
| Raju Fatehchand | Internal Medicine | Medical and Surgical Associates Inc | 1930 Tamarack Rd, Newark, OH 43055-2303 |
| Lisa M Karres | Family Medicine | Medical and Surgical Associates Inc | 1930 Tamarack Rd, Newark, OH 43055-2303 |
| Richard R Donnard | Family Medicine | Medical and Surgical Associates Inc | 1930 Tamarack Rd, Newark, OH 43055-2303 |
| Courtney L Garvin | Physician Assistant | Medical and Surgical Associates Inc | 1930 Tamarack Rd, Newark, OH 43055-2303 |
| Brenda Kay Ames | Nurse Practitioner | Medical and Surgical Associates Inc | 1930 Tamarack Rd, Newark, OH 43055-2303 |
| Misti Staggers | Nurse Practitioner | Medical and Surgical Associates Inc | 1930 Tamarack Rd, Newark, OH 43055-2303 |
| Street Address |
1930 TAMARACK RD |
| City | NEWARK |
| State | OH |
| Zip | 43055-2303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Campolo | Family Medicine | Medical and Surgical Associates Inc | 1930 Tamarack Rd, Newark, OH 43055-2303 |
| Thomas Petryk | Family Medicine | Medical and Surgical Associates Inc | 1930 Tamarack Rd, Newark, OH 43055-2303 |
| Alexander J Campolo | Internal Medicine | Medical and Surgical Associates Inc | 1930 Tamarack Rd, Newark, OH 43055-2303 |
| Raju Fatehchand | Internal Medicine | Medical and Surgical Associates Inc | 1930 Tamarack Rd, Newark, OH 43055-2303 |
| Lisa M Karres | Family Medicine | Medical and Surgical Associates Inc | 1930 Tamarack Rd, Newark, OH 43055-2303 |
| Richard R Donnard | Family Medicine | Medical and Surgical Associates Inc | 1930 Tamarack Rd, Newark, OH 43055-2303 |
| Courtney L Garvin | Physician Assistant | Medical and Surgical Associates Inc | 1930 Tamarack Rd, Newark, OH 43055-2303 |
| Brenda Kay Ames | Nurse Practitioner | Medical and Surgical Associates Inc | 1930 Tamarack Rd, Newark, OH 43055-2303 |
| Misti Staggers | Nurse Practitioner | Medical and Surgical Associates Inc | 1930 Tamarack Rd, Newark, OH 43055-2303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth R Greer | Critical Care (intensivists) | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Harvinder S Gill | Pulmonary Disease | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Joshua R Thomas | Internal Medicine | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Asegid H Kebede | Pulmonary Disease | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Ilya G Goldenberg | Internal Medicine | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Alissa V Ackelson | Infectious Disease | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Armand A Bermudez | Critical Care (intensivists) | Select Specialty Hospital - Zanesville Inc | 2000 Tamarack Rd, Fl 2, Newark, OH 43055-1183 |
| Michael J Kirwin | Family Practice | 2000 Tamarack Rd, Newark, OH 43055-1183 | |
| Gene Harrison | Chiropractic | 1951 Tamarack Rd, Newark, OH 43055-1300 | |
| Caroline Thompson | Clinical Social Worker | National Youth Advocate Program Inc | 2112 Cherry Valley Rd, Newark, OH 43055-1323 |
| Find all physicians in zip 43055 | |||
| City | NEWARK |
| Zip Code | 43055 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NEWARK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jeremy R Campbell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.