MARY CAMPBELL (NPI# 1619453958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619453958 |
Entity Type | Individual |
Full Name | MARY CAMPBELL |
Credential | CAA |
Practice Address |
100 Hospital Dr Bennington VT 05201-5004 |
Mailing Address |
3611 Preston Ct Sw Lilburn GA 30047-2467 |
Practice Telephone | 8024426361 |
Mailing Telephone | 7704015890 |
Enumeration Date | 2018-07-18 |
Last Update Date | 2018-07-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124588082 | Mary Campbell | Contractor | 6220 Shallowford Rd Apt 573, Chattanooga, TN 37421-6921 | 2019-03-25 |
1447720453 | Mary Campbell | Counselor | 1264 Concord Rd Se Ste 106, Smyrna, GA 30080-5302 | 2018-12-03 |
1124594445 | Mary Elizabeth Campbell | Counselor | 1472 Morton Cir Apt C, Claremont, CA 91711-5717 | 2018-10-15 |
1598277626 | Mary N Campbell | In Home Supportive Care | 1000 W Poinsett St, Greer, SC 29650-1313 | 2017-10-30 |
1962959114 | Mary E Campbell | Physical Therapist | 1249 W Liebau Rd Ste 100, Mequon, WI 53092-3397 | 2016-09-06 |
1063860443 | Mary Melissa Campbell | Acupuncturist | 213 Route 37 E, Toms River, NJ 08753-5563 | 2016-05-26 |
1447633318 | Mary Campbell | Adult Companion | 9711 Autoville Dr, College Park, MD 20740-1303 | 2015-07-09 |
1720323090 | Mary P. Campbell | Registered Nurse | 2409 Foxglove Rd, Wausau, WI 54401-8578 | 2012-11-28 |
1821348855 | Mary Kathryn Campbell | Speech-Language Pathologist | 315 E Union, Osceola, AR 72370 | 2012-09-18 |
1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
Street Address |
100 HOSPITAL DR |
City | BENNINGTON |
State | VT |
Zip Code | 05201-5004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114530029 | Kelsey Buran | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-08-29 |
1982212478 | Daniel Hennessey | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-07-21 |
1306462106 | Daryl Silva | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-06-18 |
1720625833 | William B Smith | Nurse Practitioner | 100 Hospital Dr, Bennington, VT 05201-5013 | 2019-12-09 |
1528613155 | Christine Lynne Burke | Nurse Practitioner | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-08-09 |
1508427980 | Nathalie Santos | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-06-26 |
1588223002 | Gon Saman | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2019-06-08 |
1891276374 | Tracie Ann Crawford | Nurse Practitioner | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-08-23 |
1922585231 | Mark Epler | Physical Therapist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-07-20 |
1538652839 | Breton Fox | Podiatrist | 100 Hospital Dr, Bennington, VT 05201-5004 | 2018-06-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
Find all providers in zip 05201 |
Taxonomy Code | 367H00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Anesthesiologist Assistant |
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114530029 | Kelsey Buran | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2020-08-29 |
1932621570 | Cody Holloway | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2017-07-15 |
1396126207 | Kimberley Monnet | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2015-06-16 |
1700217015 | Suela Hysenaj | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2013-12-12 |
1881722031 | Timothy Scott Snyder | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2007-03-01 |
1821171794 | Gary Moelich | Anesthesiologist Assistant | 100 Hospital Drive, Bennington, VT 05201 | 2006-10-23 |
1962514406 | John Calvin Gower | Anesthesiologist Assistant | 100 Hospital Dr, Bennington, VT 05201-5004 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962984047 | Katie Elizabeth Noel | Anesthesiologist Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2018-09-05 |
1730558396 | Sara J. Church | Anesthesiologist Assistant | 111 Colchester Ave., Uvm Medical Center - Dept. of Anesthesiology, Burlington, VT 05401 | 2015-09-24 |
1134529340 | Matthew Peter Fazio | Anesthesiologist Assistant | 111 Colchester Ave., Uvm Mc - Anesthesiology, Burlington, VT 05401 | 2014-08-26 |
1285040352 | Jay Benjamin Ginns | Anesthesiologist Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2014-07-09 |
1396089553 | Paul R Dunn | Anesthesiologist Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2012-11-12 |
1720390321 | Luke J Eaton | Anesthesiologist Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2010-07-12 |
1639281272 | Stacey A Mckenna | Anesthesiologist Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2006-08-31 |
1609804608 | Caroline V. Horn | Anesthesiologist Assistant | 111 Colchester Ave., Uvm Medical Center, Dept. of Anesthesiology, Burlington, VT 05401 | 2006-06-29 |
1629005608 | Nathan Horn | Anesthesiologist Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2006-06-27 |
1659314631 | Karen Clark | Anesthesiologist Assistant | 111 Colchester Ave, Fahc-wp2, Burlington, VT 05401-1473 | 2006-06-14 |
Find all providers with the same taxonomy |
City | BENNINGTON |
Zip Code | 05201 |
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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.