MITCHELL J CAMPBELL (NPI# 1174586457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174586457 |
| Entity Type | Individual |
| Full Name | MITCHELL J CAMPBELL |
| Credential | MD |
| Practice Address |
210 E Gray St Suite 900 Louisville KY 40202-3900 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5085847525 |
| Practice Fax Number | 5025890849 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2018-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
28014 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM (SPINE INSTITUTE) | 000000049467 | 01 |
| KY | HUMANA- NORTON LEATHERMAN SPINE CENTER | 000051983J | 01 |
| KY | PASSPORT (SPINE INSTITUTE | 1054523 | 01 |
| KY | RAILROAD MEDICARE | 200027304 | 01 |
| IN | 200103760A | 05 | |
| KY | PASSPORT- NORTON LEATHERMAN SPINE CENTER | 50024963 | 01 |
| KY | MEDICARE- NORTON LEATHERMAN SPINE CENTER | 00533158 | 01 |
| KY | HEALTHY INDIANA PLAN- COMMUNITY MEDICAL ASSOCIATES | 200103760 | 01 |
| KY | PASSPORT ADVANTAGE (SPINE | 2433677000 | 01 |
| KY | CIGNA- NORTON LEATHERMAN SPINE CENTER | 8856267 | 01 |
| KY | PASSPORT ADVANTAGE (UNIVE | 2432609000 | 01 |
| KY | HARMONY (SPINE INSTITUTE) | N293520 | 01 |
| KY | RAILROAD MEDICARE- NORTON LEATHERMAN SPINE CENTER | P00764026 | 01 |
| US DEPT OF LABOR | 163722400 | 01 | |
| KY | PASSPORT (UNIVERSITY ORT | 1049632 | 01 |
| IN | 200103760 | 05 | |
| KY | CIGNA (SPINE INSTITUTE) | 36123 | 01 |
| KY | PASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER | 3728039000 | 01 |
| KY | ANTHEM (UNIVERSITY ORTHOP | 000000049352 | 01 |
| KY | ANTHEM- NORTON LEATHERMAN SPINE CENTER | 000000628569 | 01 |
| KY | 64280142 | 05 | |
| KY | CIGNA (UNIVERSITY ORTHOPA | 667790 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366097305 | Mitchell Campbell | Marriage & Family Therapist | 2970 Market Street, San Diego, CA 92102 | 2019-08-06 |
| 1770066094 | Mitchell Campbell | Occupational Therapist | 4500 W Newberry Rd, Gainesville, FL 32607-2245 | 2018-09-12 |
| 1700103116 | Mitchell Dale Campbell | Audiologist | 117 E Kentucky St, Louisville, KY 40203-2793 | 2010-04-24 |
| Street Address |
210 E GRAY ST SUITE 900 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588519 | Salvatore J. Bertolone Jr. | Pediatrics | 210 E Gray St, Ste 601, Louisville, KY 40202-3902 | 2005-06-17 |
| 1699299669 | Nicholas Andrew Beckham | Physical Therapist | 210 E Gray St, Louisville, KY 40202-3900 | 2017-08-01 |
| 1366981532 | Catharine Deeds | Registered Nurse | 210 E Gray St, Suite 900, Louisville, KY 40202-3900 | 2017-02-21 |
| 1417495334 | Angela Goldring | Nurse Practitioner | 210 E Gray St, Suite 700, Louisville, KY 40202-3900 | 2017-02-11 |
| 1265887269 | Brittany Jean Michele Kurtz | Nurse Practitioner | 210 E Gray St, Ste 1000, Louisville, KY 40202-3906 | 2016-04-27 |
| 1164887576 | Stephanie Schell | Nurse Practitioner | 210 E Gray St, Suite 1003, Louisville, KY 40202 | 2015-12-30 |
| 1144697863 | Jennifer Dupree | Nurse Practitioner | 210 E Gray St, Suite 900, Louisville, KY 40202-3900 | 2015-08-28 |
| 1962888941 | Spencer Moorman | Social Worker | 210 E Gray St, Suite 601, Louisville, KY 40202-3902 | 2015-08-03 |
| 1093105306 | University of Louisville Physicians, Inc. | Pediatrics | 210 E Gray St, Suite 601a, Louisville, KY 40202-3900 | 2015-01-26 |
| 1538559844 | University of Louisville Research Foundation | Physician Assistant | 210 E Gray St, Suite 601a, Louisville, KY 40202-3900 | 2015-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982879607 | Jeffrey Lynn Gum | Orthopaedic Surgery | 210 East Gray Street, Louisville, KY 40202-1902 | 2008-04-23 |
| 1518967371 | Michael Thomas Casnellie | Orthopaedic Surgery | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2005-07-22 |
| 1316942006 | David P Rouben | Orthopaedic Surgery | 8620 Biggin Hill Ln, Louisville, KY 40220 | 2005-06-17 |
| 1972119220 | Joseph Morreale Md | Orthopaedic Surgery | 90 Health Park Dr Ste 130, Louisville, CO 80027-9586 | 2020-09-22 |
| 1073133054 | Joseph Laratta Md Spine Surgeon, LLC | Orthopaedic Surgery | 1169 Eastern Pkwy Ste 400, Louisville, KY 40217-1412 | 2020-04-20 |
| 1760995443 | David P Rouben Md Psc | Orthopaedic Surgery | 8620 Biggin Hill Ln, Louisville, KY 40220 | 2017-11-16 |
| 1821507005 | Mikhail Lew Perez Ver | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2017-09-20 |
| 1982019998 | Kimona Issa | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2014-06-27 |
| 1891058335 | Fabian Carballo Madrigal | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2012-06-20 |
| 1871852640 | University Orthopaedic Departmental Entity Inc | Orthopaedic Surgery | 530 S Jackson St, Louisville, KY 40202-1675 | 2012-05-14 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.