MR. JAMES KEVIN CAMPBELL


Address: 1711 Doolittle Ave, Fort Worth, TX 76127-1133
Phone: 8177825914

MR. JAMES KEVIN CAMPBELL (NPI# 1356318315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356318315
Entity Type Individual
Full Name MR. JAMES KEVIN CAMPBELL
Other Name JAMES CAMPBELL
Practice Address 1711 Doolittle Ave
Fort Worth
TX 76127-1133
Mailing Address 1805 Newcastle Dr
Mansfield
TX 76063-7919
Practice Telephone 8177825914
Mailing Telephone 8179943871
Enumeration Date 2006-03-08
Last Update Date 2007-09-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
INDEPENDENT DUTY CORPSMAN 1710I1002X 01

Other Providers JAMES CAMPBELL

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1477932960 James Campbell Counselor 1506 Irving St Ne, Washington, DC 20017-2949 2015-05-29
1740538487 James Everett Campbell Student in an Organized Health Care Education/Training Program Navy Medicine Support Command, Attn: Medical Staff Srvs, Bldg H2005 Knight Lane, Jacksonville, FL 32212-0140 2012-08-28
1851670434 James A Campbell Psychiatry & Neurology 601 North 30 Street, Suite 1609, Omaha, NE 68131-0000 2011-08-12
1114127875 James Foster Campbell Family Medicine 500 Old River Rd Ste#260, Bakersfield, CA 93311 2007-07-20
1881816692 James Edward Campbell Student in an Organized Health Care Education/Training Program 12400 E. Jewell Avenue, Aurora, CO 80012 2007-05-02
1487776688 James Campbell Counselor 505 W Walnut, Yakima, WA 98902 2007-04-06
1417075805 James L Campbell Psychologist 5409 Maryland Way Ste 119, Brentwood, TN 37027-5068 2007-03-26
1811022130 James Stephan Campbell Chiropractor 155 E Bridge St, Brighton, CO 80601-1612 2007-02-23
1982741070 James R Campbell Technician/Technologist 2351 Hylan Blvd, Vision Gallery Ltd., Staten Island, NY 10306-3118 2007-01-30
1336293547 James R Campbell Jr. Dentist 202 S 4th St W, Baker, MT 59313 2007-01-23

Office Location

Street Address 1711 DOOLITTLE AVE
City FORT WORTH
State TX
Zip Code 76127-1133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528468444 Luciana Ramirez Dentist 1711 Doolittle Ave, Fort Worth, TX 76127 2014-08-28
1922410554 Naval Health Clinic Corpus Christi Military/U.S. Coast Guard Pharmacy 1711 Doolittle Ave, Fort Worth, TX 76127 2014-06-02
1487079356 Jacob Alan Seekins Military Health Care Provider 1711 Doolittle Ave, Fort Worth, TX 76127-1133 2014-02-28
1417389461 Michael A Rivard Military Health Care Provider 1711 Doolittle Ave, Fort Worth, TX 76127-1133 2013-08-01
1710228226 Scott Bailey Hughey General Practice 1711 Doolittle Ave, Fort Worth, TX 76127-1133 2013-03-07
1609168996 Richard Thomas Gilbert Military Health Care Provider 1711 Doolittle Ave, Fort Worth, TX 76127-1133 2011-05-05
1073784245 Epifanio Elizondo Physician Assistant 1711 Doolittle Ave, Nas Jrb Branch Clinic, Fort Worth, TX 76127-1133 2008-03-17
1124235445 John David Brabner Military Health Care Provider 1711 Doolittle Ave, Fort Worth, TX 76127-1711 2007-05-17
1669427290 Richard Brian Butorac Military Health Care Provider 1711 Doolittle Ave, Fort Worth, TX 76179 2006-05-23
1952378614 Amy Elyse Isaia Psychologist 1711 Doolittle Ave, Fort Worth, TX 76127-1133 2006-03-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942654462 Damon A Cates Physician Assistant Fmc Carswell, J St Bldg 3000, Fort Worth, TX 76127 2016-04-21
1821332628 Patricia Byrd Psychologist 3000 'j' Street, Fort Worth, TX 76127 2012-11-16
1992976435 Carlos Estevez Physical Therapist J Street Building 3000, Naval Air Station, Fort Worth, TX 76127 2008-03-12
1346284064 National Vision, Inc. Eyewear Supplier (Equipment, not the service) 1880 Mlty Pky, Ft. Worth, TX 76127 2006-06-15
1679516330 Texas Exchange Eye Care, L.p. Optometrist 1880 Military Parkway, Building 1880, Fort Worth, TX 76127 2006-06-13
1073571428 Alysa Michele Jackson Social Worker 3000 'j' Street, Federal Medical Center, Carswell, Fort Worth, TX 76127 2006-05-03
1659366219 Jeanette Grullon-mejia Family Medicine J Street, Building 3000, Fort Worth, TX 76127 2005-09-20
1700126570 Dr Buie & Associates PC Optometrist 1880 Military Parkway, Ft. Worth, TX 76127 2013-02-15
1194022566 William Resto-rivera Military Health Care Provider J Street Bldg 3000, Federal Medical Center Carswell, Fort Worth, TX 76127-0066 2011-02-22
1275961328 Fort Worth Health Rejuvenation Nursing Facility/Intermediate Care Facility 3253 Desert Storm Rd, Fort Worth, TX 76127-1029 2013-10-29
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487079356 Jacob Alan Seekins Military Health Care Provider 1711 Doolittle Ave, Fort Worth, TX 76127-1133 2014-02-28
1417389461 Michael A Rivard Military Health Care Provider 1711 Doolittle Ave, Fort Worth, TX 76127-1133 2013-08-01
1609168996 Richard Thomas Gilbert Military Health Care Provider 1711 Doolittle Ave, Fort Worth, TX 76127-1133 2011-05-05
1124235445 John David Brabner Military Health Care Provider 1711 Doolittle Ave, Fort Worth, TX 76127-1711 2007-05-17
1669427290 Richard Brian Butorac Military Health Care Provider 1711 Doolittle Ave, Fort Worth, TX 76179 2006-05-23

Providers in the same taxonomy and state

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1528430980 Tomasz Orent Military Health Care Provider 26885 Manor Falls Dr, Kingwood, TX 77339-7709 2015-10-26
1518337013 John Cantu Military Health Care Provider 3945 Tripoli Dr, Corpus Christi, TX 78415-3348 2015-09-28
1699144428 Alberto Gonzalez Military Health Care Provider 102 Redrock Dr, San Antonio, TX 78213-4526 2015-09-22
1275938375 Ricardo Jaramillo Military Health Care Provider 7016 Austrian Pine, Brownsville, TX 78526 2014-10-31
1942637087 Matthew Alan Robichaux Military Health Care Provider 13500 White Tail Trl, Austin, TX 78736-7422 2013-10-03
1417223710 Adam Anthony Garcia Military Health Care Provider 12080 Paseo De Amor Ln, El Paso, TX 79936-4499 2012-03-30
1124306329 David G Morales Jr. Military Health Care Provider 9180 Tenango Dr, El Paso, TX 79907-3257 2011-07-22
1689970535 Michael G. Phillips Military Health Care Provider 2621 Las Brisas St, Corpus Christi, TX 78414-5014 2011-02-09
1912208216 Shepley Allen Reimer Military Health Care Provider 3555 Patch Rd, Fort Sam Houston, TX 78234-1200 2010-11-03
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Competitor

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City FORT WORTH
Zip Code 76127

Improve Information

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Dataset Information

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.

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