CHAD ERVIN CAMPBELL (NPI# 1811017999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811017999 |
| Entity Type | Individual |
| Full Name | CHAD ERVIN CAMPBELL |
| Credential | D.O. |
| Practice Address |
1223 Gateway Dr Ste 2c Melbourne FL 32901-2607 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3217286072 |
| Practice Fax Number | 3214347132 |
| Mailing Telephone | 3217286072 |
| Mailing Fax Number | 3219517408 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OS16049 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 005242 | AZ | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 005242 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | PENDING | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457461428 | Chad M Campbell | Social Worker | 6728 Vining Rd, Greenville, MI 48838-9784 | 2006-08-30 |
| 1083676845 | Chad H Campbell | Optometrist | 6191 S State St, Murray, UT 84107-7258 | 2006-04-05 |
| 1982763470 | Chad Michael Campbell | Physician Assistant | 1100 N Broad St, Suite B, Globe, AZ 85501-2757 | 2006-12-08 |
| Street Address |
1223 GATEWAY DR STE 2C |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902844699 | Irfan Riaz Imami | Surgery | 1223 Gateway Dr Ste 2c, Melbourne, FL 32901-2607 | 2006-06-03 |
| 1669802831 | Tannis Smith | Nurse Practitioner | 1223 Gateway Dr Ste 2c, Melbourne, FL 32901 | 2013-11-25 |
| 1942577465 | Stacey Lynn Joyner | Nurse Practitioner | 1223 Gateway Dr Ste 2c, Melbourne, FL 32901-2607 | 2011-11-29 |
| 1417188764 | Nina Jean Tachikawa | Pharmacist | 1223 Gateway Dr Ste 2c, Melbourne, FL 32901-2607 | 2009-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174142913 | Nikolay Stamboliyski | Internal Medicine | 1387 Dorset Pl, Melbourne, FL 32940-2188 | 2020-04-12 |
| 1215413232 | Madhavi Chary LLC | Internal Medicine | 315 Sandhurst Dr, Melbourne, FL 32940-2159 | 2018-07-12 |
| 1497279590 | G Patel Md Pa | Internal Medicine | 8011 Barrosa Cir, Melbourne, FL 32940-7084 | 2017-07-31 |
| 1376958462 | Brevard Primary Care LLC | Internal Medicine | 1185 Talon Way, Melbourne, FL 32934-3257 | 2014-06-26 |
| 1629413125 | Hilbert Zeballos Pa | Internal Medicine | 903 Balmoral Way, Melbourne, FL 32940-2402 | 2013-05-09 |
| 1558637686 | Gary Joseph Hardoon | Internal Medicine | 6619 N. Wickham Rd, Melbourne, FL 32940 | 2012-03-22 |
| 1407142425 | Michael C. Ianniello, Do | Internal Medicine | 2560 Judge Fran Jamieson Way Unit 1313, Melbourne, FL 32940 | 2011-06-28 |
| 1356669683 | Lynell S. Newmarch | Internal Medicine | 298 Michigan Ave., Suite 101, Melbourne, FL 32901-3104 | 2010-05-11 |
| 1811195894 | Kalpana Gorthi | Internal Medicine | 6450 N Wickham Rd Ste 106, Melbourne, FL 32940 | 2007-07-11 |
| 1467663872 | Hong Sun Jeong | Internal Medicine | 8095 Spyglass Hill Rd Ste 105, Melbourne, FL 32940-8290 | 2007-05-25 |
| Find all providers in MELBOURNE | ||||
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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.