CHASE CAMPBELL (NPI# 1306106562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306106562 |
| Entity Type | Individual |
| Full Name | CHASE CAMPBELL |
| Credential | M.D. |
| Practice Address |
1400 E Boulder St Colorado Springs CO 80909 |
| Mailing Address |
Po Box 912688 Denver CO 80291-2688 |
| Practice Telephone | 7193655000 |
| Practice Fax Number | 7195912745 |
| Mailing Telephone | 8774062916 |
| Mailing Fax Number | 7195912745 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2019-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | BP10043077 | TX | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
DR.0059707 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | P02023278 | 01 | |
| CO | 1306106562 | 05 | |
| CO | MEDICARE | 651158 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568753143 | Chase Lee Campbell | Surgery | 131 E Market St, Smithfield, NC 27577-3915 | 2011-04-29 |
| Street Address |
1400 E BOULDER ST |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363705 | Pikes Peak Cardiology A Professional LLP | Specialist | 1400 E Boulder St, Suite 700, Colorado Springs, CO 80909-5533 | 2005-06-01 |
| 1154921906 | Pikes Peak Nephrology Associates PC | Internal Medicine | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-30 |
| 1376143297 | Fabienne Sophie Haas | Student in an Organized Health Care Education/Training Program | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-29 |
| 1255930004 | Poudre Valley Medical Group, LLC | Social Worker | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-22 |
| 1497353247 | Stander Neurology Inc. | General Acute Care Hospital | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-14 |
| 1497378343 | Ashley Marie Griffin | Nurse Practitioner | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-27 |
| 1831711944 | Poudre Valley Medical Group, LLC | Obstetrics & Gynecology | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-12 |
| 1033731120 | Poudre Valley Medical Group, LLC | General Practice | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-12 |
| 1548882756 | Jolene Kendall | Pharmacist | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-11 |
| 1932720471 | Margaret Porter | Occupational Therapist | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013860 | Pueblo Radiological Group, P.C. | Radiology | 245 Balmoral Way, Colorado Springs, CO 80906-7907 | 2020-11-06 |
| 1548861529 | Pueblo Radiological Group, P.C. | Radiology | 1804 Oakmoor Hts, Colorado Springs, CO 80906-1171 | 2020-11-05 |
| 1376153965 | Colorado Springs Radiologists PC | Radiology | 5607 Barnes Rd # 140, Colorado Springs, CO 80917-1347 | 2020-08-07 |
| 1447662325 | Lee Holder | Radiology | 6095 Grand Mesa Dr, Colorado Springs, CO 80923-3484 | 2014-05-27 |
| 1215270004 | Craig Thomas Mcmullen | Radiology | 1924 N Tejon St, Colorado Springs, CO 80907-6919 | 2013-04-01 |
| 1871853416 | Jamie A. Aminsharifi | Radiology | 18 W Buena Ventura St, Colorado Springs, CO 80907 | 2012-05-16 |
| 1689944290 | Richard Bard Mcmullen | Radiology | 405 Southfield Rd, Colorado Springs, CO 80919-3217 | 2012-01-12 |
| 1154690840 | Robert Warr | Radiology | 1160 Dancing Horse Dr, Colorado Springs, CO 80919-3908 | 2011-12-26 |
| 1841463452 | Gavin W. Arnett | Radiology | 1885 Mud Hen Dr, Colorado Springs, CO 80921-2094 | 2008-04-04 |
| 1770620106 | Jason Thomas Scism | Radiology | 1545 Napoli Way, Colorado Springs, CO 80906-5793 | 2007-02-01 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
Please comment or provide details below to improve the information on CHASE CAMPBELL.
| 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.