KEVIN CAMPBELL (NPI# 1124484985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124484985 |
Entity Type | Individual |
Full Name | KEVIN CAMPBELL |
Credential | PA-C |
Practice Address |
3120 Carpenter St Hamtramck MI 48212-9802 |
Mailing Address |
130 Town Center Dr Ste 203 Troy MI 48084-1744 |
Practice Telephone | 3133345380 |
Enumeration Date | 2016-01-11 |
Last Update Date | 2016-10-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 5601007625 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356818314 | Kevin W Campbell | Dentist | Norfolk Naval Shipyard Bld 277, Portsmouth, VA 23709 | 2018-10-29 |
1205235629 | Kevin Campbell | Physical Therapy Assistant | 474 S Landmark Ave, Bloomington, IN 47403-5000 | 2014-08-21 |
1164731956 | Kevin James Campbell | Massage Therapist | 220 3rd Ave Ste 408, Havre, MT 59501-3554 | 2010-09-28 |
1346373651 | Kevin Thomas Campbell | Dentist | 6910 N Main St Unit 58, Granger, IN 46530-8412 | 2007-03-14 |
1992849780 | Kevin Scott Campbell Sr. | Prosthetist | 722 Louisiana Ave, Bogalusa, LA 70427 | 2007-02-16 |
1497833834 | Kevin S Campbell | Family Medicine | 200 Fort Sanders West Blvd Ste 304, Knoxville, TN 37922-3360 | 2006-11-02 |
1700820776 | Kevin G Campbell | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2006-06-16 |
1740281476 | Kevin Jon Campbell | Chiropractor | 118 Gateway Dr., North Sioux City, SD 57049-1427 | 2005-08-03 |
1376173567 | Kevin Campbell | Pharmacist | 6901 Preston Rd, Dallas, TX 75205-1186 | 2020-01-16 |
1104486745 | Kevin G Campbell | Behavior Technician | 625 The City Dr S Ste 120, Orange, CA 92868-3352 | 2019-06-17 |
Street Address |
3120 CARPENTER ST |
City | HAMTRAMCK |
State | MI |
Zip Code | 48212-9802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225016256 | Quadir Jaleel | Internal Medicine | 3120 Carpenter St, Suite 207, Hamtramck, MI 48212-9802 | 2006-01-09 |
1306313499 | Mohammad Mustafizur Rahman | Pharmacy Technician | 3120 Carpenter St, Hamtramck, MI 48212-9802 | 2018-10-27 |
1396270054 | Life Time Physical Therapy Inc | Physical Therapist | 3120 Carpenter St, Suite 107, Hamtramck, MI 48212-9802 | 2017-05-01 |
1558789354 | Tri-county Rehab Inc | Health Maintenance Organization | 3120 Carpenter St, Suite 211, Hamtramck, MI 48212-9802 | 2014-03-31 |
1972804227 | Health Choice Management Group P.l.l.c. | Clinic/Center | 3120 Carpenter St, Hamtramck, MI 48212-9802 | 2010-11-03 |
1457580821 | Heart Care Associates Pllc | Internal Medicine | 3120 Carpenter St, Suite 209, Hamtramck, MI 48212-9802 | 2009-07-07 |
1588839013 | Hamtramck Dental Center | Dentist | 3120 Carpenter St, Suite 109, Hamtramck, MI 48212-9802 | 2008-04-25 |
1922288703 | Pramod Raval M.d P.C. | Medical Genetics, Ph.D. Medical Genetics | 3120 Carpenter St, Suite 313, Hamtramck, MI 48212-9802 | 2007-11-08 |
1023229127 | Family Care Center of Hamtramck PC | Internal Medicine | 3120 Carpenter St, Ste 301, Hamtramck, MI 48212-9802 | 2007-05-24 |
1043342116 | Quadir Jaleel Md PC | Internal Medicine | 3120 Carpenter St, Hamtramck, MI 48212-9802 | 2007-03-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
1942770631 | Joann Harrison | Nurse Practitioner | 17941 St. Aubin Street, Detroit, MI 48212 | 2018-11-26 |
1134605298 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 9740 Conant St Ste 4, Hamtramck, MI 48212 | 2018-07-12 |
1477051530 | Detroit Green Carrot LLC | Foster Care Agency | 3829 Alpha, Detroit, MI 48212 | 2018-01-24 |
1528595451 | Mercy Prakash | Nurse Practitioner | 3120 Carpenter St. Ste 201, Adult & Pediatric Medicine Pllc, Hamtramck, MI 48212 | 2017-05-23 |
1033408935 | Hamtramck Pediatrics | Clinic/Center | 12033 Conant Road, Hamtramck, MI 48212 | 2011-03-31 |
1194051557 | Niaah Ellis | Counselor | 4812 E. Mcnichols, Detroit, MI 48212 | 2009-10-20 |
1912136797 | Latoya T Jackosn | Counselor | Sunshine Treatment In, 4821 E. Mcnichols, Detroit, MI 48212 | 2009-07-14 |
Find all providers in zip 48212 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
1467069690 | Hajerah Arif | Physician Assistant | 2930 Holbrook St, Hamtramck, MI 48212-3512 | 2020-10-01 |
1285090266 | Howayda Rida | Physician Assistant | 3301 Holbrook St, Hamtramck, MI 48212-3519 | 2016-01-06 |
1053747022 | Amanda Rose Schmidt | Physician Assistant | 11400 Joseph Campau St, Hamtramck, MI 48212-3041 | 2013-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
1609473198 | Rachel M. Graziano | Physician Assistant | 18 Lowell Ave Ne, Grand Rapids, MI 49503-3760 | 2020-10-07 |
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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.