CAMPBELL MEDICAL SERVICES, LLC (NPI# 1023263589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023263589 |
| Entity Type | Organization |
| Organization Name | CAMPBELL MEDICAL SERVICES, LLC |
| Practice Address |
755 Campbell Ave Suite 3 West Haven CT 06516-3715 |
| Practice Telephone | 2039371100 |
| Practice Fax Number | 2039371102 |
| Mailing Telephone | 2039371100 |
| Mailing Fax Number | 2039371102 |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2014-11-18 |
| Authorized Official Name | CHANNA D. PERERA (OWNER) |
| Authorized Official Telephone | 2039371100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
002961 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
005583 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207R00000X | Internal Medicine | 036182 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
755 CAMPBELL AVE SUITE 3 |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-3715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023065216 | Connecticut Physical Therapy | Clinic/Center | 755 Campbell Ave, West Haven, CT 06516-3715 | 2006-05-31 |
| 1942669916 | Pediatric Advanced Care of West Haven LLC | Nurse Practitioner | 755 Campbell Ave, Suite 2, West Haven, CT 06516-3715 | 2016-02-18 |
| 1356687495 | Virginia Louise Sherrick | Nurse Practitioner | 755 Campbell Ave, West Haven, CT 06516-3715 | 2012-12-18 |
| 1750681003 | Elizabeth Marcucio | Nurse Practitioner | 755 Campbell Ave, Suite 2, West Haven, CT 06516-3715 | 2010-11-02 |
| 1154520062 | Family Physicians of West Haven,llc | Internal Medicine | 755 Campbell Ave, West Haven, CT 06516-3715 | 2007-07-12 |
| 1144385261 | Diane E Fahey | Nurse Practitioner | 755 Campbell Ave, Suite 2, West Haven, CT 06516-3715 | 2006-12-27 |
| 1134134018 | Ilja Hulinsky | Internal Medicine | 755 Campbell Ave, West Haven, CT 06516-3715 | 2006-07-29 |
| 1114961083 | William E Rosner | Internal Medicine | 755 Campbell Ave, West Haven, CT 06516-3715 | 2006-06-15 |
| 1427099225 | Robert Kinstlinger | Internal Medicine | 755 Campbell Ave, West Haven, CT 06516-3715 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942689682 | Anna Zimmerman | Internal Medicine | 950 Campbell Ave Ste 11, West Haven, CT 06516-2770 | 2015-05-27 |
| 1881969194 | John Thomas | Internal Medicine | 950 Campbell Ave # 11acsl1, West Haven, CT 06516-2770 | 2012-03-20 |
| 1831477736 | Elvin Griffith, M.d. P.C. | Internal Medicine | 377 Main St Ste 2, West Haven, CT 06516-4311 | 2011-07-26 |
| 1457687113 | Elvin Lavern Griffith | Internal Medicine | 377 Main Street, West Haven, CT 06516 | 2009-10-29 |
| 1992944391 | Carine J Sakr | Internal Medicine | 950 Campbell Ave, Va Connecticut Healthcare System, Employee Health Unit, Building 2, Rm 2-230, West Haven, CT 06516-2700 | 2009-02-10 |
| 1972787067 | Shawn M Cole | Internal Medicine | 950 Campbell Avenue, 11 Ascl, Veterans Affairs Connecticut Healthcare System, West Haven, CT 06516 | 2007-12-26 |
| 1740342013 | Barbara Gene Mackintosh | Internal Medicine | 950 Campbell Ave # 240, West Haven, CT 06516 | 2006-12-14 |
| 1780768093 | Savin Medical Practice, LLC | Internal Medicine | 603 Savin Avenue, West Haven, CT 06516 | 2006-10-24 |
| 1659454940 | Sreedhar R Gottiparthy | Internal Medicine | 764 Campbell Avenue, West Haven, CT 06516 | 2006-10-23 |
| 1013000918 | Mehran Pouresmail | Internal Medicine | Va Hospital,950 Campbell Ave, West Haven, CT 06516 | 2006-10-02 |
| Find all providers in WEST HAVEN | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
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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.