CHARLES CAMPOSANO (NPI# 1497291298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497291298 |
| Entity Type | Individual |
| Full Name | CHARLES CAMPOSANO |
| Practice Address |
325 Clyde Morris Blvd #340 Ormond Beach FL 32174-8178 |
| Mailing Address |
325 Clyde Morris Blvd Suite 340 Ormond Beach FL 32174-8178 |
| Practice Telephone | 3866158971 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9110117 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
325 CLYDE MORRIS BLVD #340 |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-8178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093105 | Diego T. Torres II II | Family Medicine | 325 Clyde Morris Blvd, Ste 320, Ormond Beach, FL 32174-8179 | 2005-06-14 |
| 1396222824 | Melissa Sepe | Nurse Practitioner | 325 Clyde Morris Blvd, Ormond Beach, FL 32174 | 2018-07-27 |
| 1053741470 | Beata Teich | Physician Assistant | 325 Clyde Morris Blvd, Suite 340, Ormond Beach, FL 32174-8178 | 2013-11-21 |
| 1285069559 | Arjun D. Aneja, M.d., LLC | Specialist | 325 Clyde Morris Blvd, Suite 300, Ormond Beach, FL 32174-8179 | 2013-09-05 |
| 1588096523 | Back and Body Wellness Center Inc. | Clinic/Center | 325 Clyde Morris Blvd, Suite 430, Ormond Beach, FL 32174-8178 | 2013-08-01 |
| 1851736672 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 325 Clyde Morris Blvd, Suite 450, Ormond Beach, FL 32174-8178 | 2013-05-07 |
| 1922370246 | Premier Health Ormond, Inc | Family Medicine | 325 Clyde Morris Blvd, Suite #390, Ormond Beach, FL 32174-8178 | 2012-02-01 |
| 1225351752 | Howard L. Offenberg, Md,pl | Internal Medicine | 325 Clyde Morris Blvd, Suite 350, Ormond Beach, FL 32174-8178 | 2010-03-11 |
| 1558559443 | Anand Anil Patel | Anesthesiology | 325 Clyde Morris Blvd, Suite 400, Ormond Beach, FL 32174-8178 | 2007-10-05 |
| 1760679088 | Aba Family Medicine, LLC | Family Medicine | 325 Clyde Morris Blvd, Suite 320, Ormond Beach, FL 32174-8178 | 2007-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| 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 |
|---|---|---|---|---|
| 1093378416 | Angelica Ray Kraus | Physician Assistant | 128 Lynwood Ln, Ormond Beach, FL 32174-4229 | 2019-04-22 |
| 1548443518 | Erika Leigh Jacumin | Physician Assistant | 8 Mirror Lake Dr., Ormond Beach, FL 32174 | 2007-12-12 |
| 1437206711 | Matthew Henry Hoffman | Physician Assistant | 775 W Granada Blvd Ste 102, Ormond Beach, FL 32174-5109 | 2007-01-05 |
| 1568543379 | Cheryl Kimmel | Physician Assistant | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 | 2006-10-18 |
| 1427143809 | Michelle B Johnston | Physician Assistant | 335 Clyde Morris Blvd Ste 290, Ormond Beach, FL 32174-3196 | 2006-10-03 |
| 1144299124 | Angel I Ribo | Physician Assistant | 305 Clyde Morris Blvd Ste 220, Ormond Beach, FL 32174-8187 | 2006-03-14 |
| 1952911299 | Jennifer Michelle Anderson | Physician Assistant | 77 W Granada Blvd, Ormond Beach, FL 32174-6302 | 2020-08-02 |
| 1831711464 | Nicole Carman | Physician Assistant | 1400 Hand Ave Ste K, Ormond Beach, FL 32174-8195 | 2020-05-18 |
| 1265073894 | Francisco Thor Fiol | Physician Assistant | 8 Mirror Lake Dr, Ormond Beach, FL 32174-3101 | 2019-10-04 |
| 1336792597 | Rachel Roxanne Sullivan | Physician Assistant | 298 S Yonge St, Ormond Beach, FL 32174-6264 | 2019-07-17 |
| Find all providers in ORMOND BEACH | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
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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.