DOUGLAS D. CAMPBELL (NPI# 1093100646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093100646 |
| Entity Type | Individual |
| Full Name | DOUGLAS D. CAMPBELL |
| Credential | M.D. |
| Practice Address |
887 Congress St Portland ME 04102-3100 |
| Practice Telephone | 2077746368 |
| Mailing Telephone | 2077746368 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2020-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
MD23589 | ME | Allopathic & Osteopathic Physicians |
| N | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
DR.0060093 | CO | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | DR.0060093 | CO | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 264348 | MA | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MD23589 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1093100646 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22 Bramhall St, Portland, ME 041023134 | 2076622526 | 2076626236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760602601 | Douglas Campbell | Internal Medicine | 640 Amberidge Trl Nw, Atlanta, GA 30328-2811 | 2007-04-25 |
| 1336237627 | Douglas Vail Campbell | Psychologist | 437mdos/lssc - 204 West Hill Blvd, Charleston Afb, SC 29404 | 2006-10-11 |
| 1235118902 | Douglas D. Campbell | Chiropractor | 1359 Ginkgo Ave, Wellman, IA 52356-9696 | 2006-01-11 |
| 1366442360 | Douglas E Campbell | Podiatrist | 4801 Fort Hamilton Pkwy, Brooklyn, NY 11219-2937 | 2005-08-01 |
| 1043219066 | Douglas Martin Campbell | Specialist | 1861 Wadsworth Blvd, Lakewood, CO 80214-5225 | 2005-07-20 |
| 1508863523 | Douglas L. Campbell | Dentist | 750 N Kendrick St, Suite 300, Flagstaff, AZ 86001-1586 | 2005-07-05 |
| 1083173025 | Douglas Campbell | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Anesthesiology, Los Angeles, CA 90095-7419 | 2019-03-19 |
| 1598138232 | Douglas Campbell | Dentist | 825 S Waukegan Rd, A1, Lake Forest, IL 60045-2696 | 2015-11-03 |
| 1861815979 | Douglas Stephen Campbell | Preventive Medicine | 2101 Gateway Centre Blvd, Suite 200, Morrisville, NC 27560-6214 | 2014-01-24 |
| 1942528401 | Douglas Lee Campbell | Emergency Medicine | 975 E 3rd St, Erlanger Medical Center, Chattanooga, TN 37403-2147 | 2010-05-08 |
| Street Address |
887 CONGRESS ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264054 | Michael Robert Curci | Surgery | 887 Congress St, Ste 410a, Portland, ME 04102-3103 | 2005-06-13 |
| 1245886209 | Melisa Suzanne Sprague | Physician Assistant | 887 Congress St, Portland, ME 04102-3100 | 2019-08-15 |
| 1821503939 | Allison Layton | Social Worker | 887 Congress St, Portland, ME 04102-3100 | 2017-12-12 |
| 1104349133 | Laura Ann Lebourdais | Physician Assistant | 887 Congress St, Portland, ME 04102-3100 | 2017-07-21 |
| 1518342526 | Mainehealth | General Acute Care Hospital | 887 Congress St, Portland, ME 04102-3100 | 2015-07-21 |
| 1790160703 | Maine Medical Partners | Surgery | 887 Congress St, Portland, ME 04102-3100 | 2015-07-21 |
| 1508260530 | Emily Sweeney | Nurse Practitioner | 887 Congress St, Suite 300, Portland, ME 04102-3100 | 2014-10-20 |
| 1639580947 | Valerie Carpenter | Physician Assistant | 887 Congress St, Portland, ME 04102-3100 | 2014-05-08 |
| 1932521085 | Jaime Eller | Social Worker | 887 Congress St, Suite 300, Portland, ME 04102-3100 | 2014-01-08 |
| 1538593892 | Alexandra Catherine Pastore | Registered Nurse | 887 Congress St, Portland, ME 04102-3100 | 2013-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184829244 | Se Jung Shin Md Professional Corporation | Emergency Medicine | 13305 Nw Cornell Road, Suite C, Portland, OR 97229 | 2007-06-19 |
| 1104028059 | Annameika Eve Goldring | Emergency Medicine | 3181 S.w. Sam Jackson Park Rd., Portland, OR 97239 | 2007-06-04 |
| 1316502719 | Portland Adventist Medical Center | Emergency Medicine | 10123 Se Market St, Portland, OR 97216-2532 | 2019-05-01 |
| 1720167745 | Robert Norton | Emergency Medicine | 3181 Sw Sam Jackson Park Rd, Department of Emregency Medicine Cdw-em, Portland, OR 97239-3011 | 2006-11-02 |
| 1477571453 | Hung Trung Nguyen | Emergency Medicine | 3710 Sw Us Veterans Hospital Road, Portland, OR 97239 | 2006-07-17 |
| 1083648984 | Brian Thomas Paskowski | Emergency Medicine | 15285 Nw Central Dr, Portland, OR 97229-0973 | 2006-07-10 |
| 1417997107 | Nikolas A. Jones | Emergency Medicine | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871532424 | David L Ettinger | Emergency Medicine | Penobscot Bay Medical Center, Rockport, ME 04856 | 2006-06-06 |
| 1598973489 | Peter Hulsey | Emergency Medicine | 489 State Street, Emergency Department, Bangor, ME 04401 | 2007-05-21 |
| 1194933879 | Lawrence Anthony Schlemann | Emergency Medicine | 15 Hospital Dr, York, ME 03909-1011 | 2007-05-18 |
| 1831314855 | Nathan G Donaldson | Emergency Medicine | 10 Wayman Ln, Bar Harbor, ME 04609-1625 | 2007-04-16 |
| 1073736930 | David G Millay | Emergency Medicine | 6 Saint Andrews Ln, Boothbay Harbor, ME 04538-1731 | 2007-04-10 |
| 1215040159 | Emergency Physician Services | Emergency Medicine | 6 Glen Cove Dr, Rockport, ME 04856-4240 | 2006-08-16 |
| 1326050410 | Mark A Douglas | Emergency Medicine | 1 Medical Center Drive, Biddeford, ME 04005 | 2006-08-13 |
| 1033128855 | John H Simmons | Emergency Medicine | 181 Main St, Norway, ME 04268-5664 | 2006-08-08 |
| 1548283997 | Rebecca Chagrasulis | Emergency Medicine | 181 Main St, Norway, ME 04268-5664 | 2006-07-26 |
| 1043236904 | Sandra L Stevens | Emergency Medicine | 50 Foden Rd, Ste 3, South Portland, ME 04106-1718 | 2006-07-14 |
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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.