DR. MARY M CAMPBELL (NPI# 1760470454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760470454 |
| Entity Type | Individual |
| Full Name | DR. MARY M CAMPBELL |
| Credential | MD |
| Practice Address |
2140 53rd Ave Bettendorf IA 52722-6279 |
| Mailing Address |
865 Lincoln Rd Ste L10 Bettendorf IA 52722-4190 |
| Practice Telephone | 5634215700 |
| Practice Fax Number | 5634215709 |
| Mailing Telephone | 5633559191 |
| Mailing Fax Number | 5633553419 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2017-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 26139 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK HEALTH PLAN | 06392 | 01 |
| JOHN DEERE HEALTH PLAN | IA01N1 | 01 |
| 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 |
2140 53RD AVE |
| City | BETTENDORF |
| State | IA |
| Zip Code | 52722-6279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516881 | Lauren Elizabeth Rumburg | Nurse Practitioner | 2140 53rd Ave, Bettendorf, IA 52722-6279 | 2020-07-27 |
| 1528695426 | Karly Rae Dankert | Physician Assistant | 2140 53rd Ave, Bettendorf, IA 52722-6279 | 2020-03-23 |
| 1184273971 | Madelyn Nicole Kussmann | Physician Assistant | 2140 53rd Ave, Bettendorf, IA 52722-6279 | 2019-09-05 |
| 1255983813 | Whitney Hess | Physician Assistant | 2140 53rd Ave, Bettendorf, IA 52722-6279 | 2019-07-14 |
| 1881255800 | Brooke Jewell | Family Medicine | 2140 53rd Ave, Bettendorf, IA 52722-6279 | 2019-06-21 |
| 1730602947 | Christina Thornburg | Nurse Practitioner | 2140 53rd Ave, Bettendorf, IA 52722-6279 | 2017-07-19 |
| 1003359308 | Christina Marie Cunningham | Nurse Practitioner | 2140 53rd Ave, Bettendorf, IA 52722-6279 | 2016-11-18 |
| 1851760151 | Lindsey J Lange | Nurse Practitioner | 2140 53rd Ave, Bettendorf, IA 52722-6279 | 2015-09-17 |
| 1245606193 | Alyssa Donahue | Nurse Practitioner | 2140 53rd Ave, Bettendorf, IA 52722-6279 | 2015-08-14 |
| 1578944476 | Ann Passini | Family Medicine | 2140 53rd Ave, Bettendorf, IA 52722 | 2015-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1558873315 | Erin M Kohrt | Speech-Language Pathologist | 2500 Grant Street, Bettendorf, IA 52722 | 2017-11-01 |
| 1437680295 | Holli Christine Martin | Chiropractor | 3048 Victoria St., Bettendorf, IA 52722 | 2017-03-23 |
| 1598219552 | Alyssa Renee Matz | Counselor | 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 | 2016-08-08 |
| 1144625021 | Athletico Ltd | Physical Therapist | 3252 Ridge Point, Bettendorf, IA 52722 | 2014-11-04 |
| 1609282862 | Katherine L Browne | Nurse Practitioner | 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 | 2014-07-09 |
| 1316357494 | Kayla Leigh Ehrman | Family Medicine | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 | 2014-04-29 |
| 1043648454 | Duane Anthony Halbur Jr. | Counselor | 2420 Salem Ct, Bettendorf, IA 52722 | 2013-10-22 |
| 1376881185 | Christopher D Murphy | Physical Therapist | 2300 53rd Ave Ll02, Bettendorf, IA 52722 | 2013-01-29 |
| 1326386574 | Kelly C Harry | Occupational Therapist | 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 | 2013-01-23 |
| Find all providers in zip 52722 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437391356 | Richard Lowell Bartsh | Family Medicine | 4182 Silver Oaks Ln, Bettendorf, IA 52722-2179 | 2009-03-25 |
| 1609902469 | Narinder Kumar Dba Bettendorf Pediatric & Family Practice Assoc. | Family Medicine | 4017 Devils Glen Rd Ste 200, Bettendorf, IA 52722-7221 | 2007-02-26 |
| 1831205525 | Teresa L Coon | Family Medicine | 1004 State St, Bettendorf, IA 52722-4856 | 2006-08-22 |
| 1215992334 | Emmett Lee Wallace | Family Medicine | 1019 Broadlawn Avenue, Bettendorf, IA 52722 | 2006-04-20 |
| 1033198908 | Daniel J Arnold | Family Medicine | 4480 Utica Ridge Rd Ste 160, Bettendorf, IA 52722-1637 | 2006-01-10 |
| 1639167307 | Richard B Kasper | Family Medicine | 4017 Devils Glen Rd, Ste 100, Bettendorf, IA 52722-7221 | 2005-10-07 |
| 1972509107 | Stanley K Roberts | Family Medicine | 6914 Nottingham Ln, Bettendorf, IA 52722-9705 | 2005-06-22 |
| 1528064052 | James A Lindley | Family Medicine | 3415 53rd Ave, Bettendorf, IA 52722-6976 | 2005-06-21 |
| 1427053842 | Steven J Aguilar | Family Medicine | 865 Lincoln Rd, Ste 400, Bettendorf, IA 52722-4159 | 2005-06-14 |
| 1730184003 | Gena L.r. Benoit | Family Medicine | 2535 Maplecrest Rd, Ste 10, Bettendorf, IA 52722-2799 | 2005-06-14 |
| Find all providers in BETTENDORF | ||||
| City | BETTENDORF |
| Zip Code | 52722 |
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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.