Jerald D Campbell (NPI# 1346212073, PAC ID# 6204883549) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1346212073 |
| PAC ID by PECOS | 6204883549 |
| Professional Enrollment ID | I20050407001020 |
| Full Name | Jerald D Campbell |
| Organization Legal Name | EMPORIA ANESTHESIA ASSOCIATES PA |
| Address |
1201 W 12th Ave Newman Regional Health Emporia KS 66801-2504 |
| Phone Number | 6203436800 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1977 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1456333509 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171384 | NEWMAN REGIONAL HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1201 W 12th Ave, Newman Regional Health, Emporia, KS 66801-2504 | 6203436800 | EMPORIA ANESTHESIA ASSOCIATES PA |
| 1201 W 12th Ave, Emporia, KS 66801-2504 | 6203436800 | NEWMAN MEMORIAL COUNTY HOSPITAL |
| 1301 W 12th Ave, Emporia, KS 66801-2590 | NEWMAN MEMORIAL COUNTY HOSPITAL |
| Organization Legal Name | EMPORIA ANESTHESIA ASSOCIATES PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Davis | Certified Registered Nurse Anesthetist (crna) | Emporia Anesthesia Associates Pa | 1201 W 12th Ave, Newman Regional Health, Emporia, KS 66801-2504 |
| Brian L Tackitt | Certified Registered Nurse Anesthetist (crna) | Emporia Anesthesia Associates Pa | 1201 W 12th Ave, Newman Regional Health, Emporia, KS 66801-2504 |
| Street Address |
1201 W 12TH AVE NEWMAN REGIONAL HEALTH |
| City | EMPORIA |
| State | KS |
| Zip | 66801-2504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krista L Ohmie | Physician Assistant | Newman Memorial County Hospital | 1201 W 12th Ave, Emporia, KS 66801-2504 |
| Lindsay M Garrett | Physician Assistant | Newman Memorial County Hospital | 1201 W 12th Ave, Emporia, KS 66801-2504 |
| Juanita J Bittle | Physician Assistant | Newman Memorial County Hospital | 1201 W 12th Ave, Emporia, KS 66801-2504 |
| Adam S Galindo | Nurse Practitioner | Newman Memorial County Hospital | 1201 W 12th Ave, Emporia, KS 66801-2504 |
| Robert L Davis | Certified Registered Nurse Anesthetist (crna) | Emporia Anesthesia Associates Pa | 1201 W 12th Ave, Newman Regional Health, Emporia, KS 66801-2504 |
| Zebida T Lisso | Nurse Practitioner | Newman Memorial County Hospital | 1201 W 12th Ave, Emporia, KS 66801-2504 |
| Anna E Lasota | Family Medicine | Newman Memorial County Hospital | 1201 W 12th Ave, Emporia, KS 66801-2504 |
| Brian L Tackitt | Certified Registered Nurse Anesthetist (crna) | Emporia Anesthesia Associates Pa | 1201 W 12th Ave, Newman Regional Health, Emporia, KS 66801-2504 |
| Margaret E Burghart | Nurse Practitioner | Newman Memorial County Hospital | 1201 W 12th Ave, Emporia, KS 66801-2504 |
| Larry W Finley | Certified Registered Nurse Anesthetist (crna) | 1201 W 12th Ave, Emporia, KS 66801-2504 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana M Gowen | Chiropractic | 1605 W 6th Ave, Emporia, KS 66801-2406 | |
| Semhal Abbay | Psychiatry | Mental Health Center of East Central Kansas A Corporation | 1000 Lincoln St, Emporia, KS 66801-2449 |
| Inderjeet Kaur | Psychiatry | Mental Health Center of East Central Kansas A Corporation | 1000 Lincoln St, Emporia, KS 66801-2449 |
| Brian L Muench | Clinical Social Worker | Mental Health Center of East Central Kansas A Corporation | 1000 Lincoln St, Emporia, KS 66801-2449 |
| Hsiang Feng Tsai | Nurse Practitioner | Mental Health Center of East Central Kansas A Corporation | 1000 Lincoln St, Emporia, KS 66801-2449 |
| Lynn B Holliman | Clinical Social Worker | Mental Health Center of East Central Kansas A Corporation | 1000 Lincoln St, Emporia, KS 66801-2449 |
| Dave Provorse | Clinical Psychologist | Mental Health Center of East Central Kansas A Corporation | 1000 Lincoln St, Emporia, KS 66801-2449 |
| Bradley Dirks | Physician Assistant | Mental Health Center of East Central Kansas A Corporation | 1000 Lincoln St, Emporia, KS 66801-2449 |
| Lori A Ridder | Physician Assistant | Newman Memorial County Hospital | 1201 W 12th Ave, Emporia, KS 66801-2504 |
| Rachel M Wilson | Nurse Practitioner | Newman Memorial County Hospital | 1201 W 12th Ave, Emporia, KS 66801-2504 |
| Find all physicians in zip 66801 | |||
| City | EMPORIA |
| Zip Code | 66801 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | EMPORIA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Jerald D 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.