ELENA M CAMPBELL (NPI# 1932376332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932376332 |
| Entity Type | Individual |
| Full Name | ELENA M CAMPBELL |
| Credential | MD |
| Practice Address |
1014 Saint Clair Blvd Suite 3000 Gonzales LA 70737-5023 |
| Practice Telephone | 2256478511 |
| Mailing Telephone | 2256478511 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2014-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD60345464 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE LICENSE | MD60345464 | 01 |
| LA | 1065072 | 05 |
| Street Address |
1014 SAINT CLAIR BLVD SUITE 3000 |
| City | GONZALES |
| State | LA |
| Zip Code | 70737-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235172651 | Rahil Devendra Shah | Internal Medicine | 1014 Saint Clair Blvd, Ste 3020, Gonzales, LA 70737-5023 | 2006-06-14 |
| 1891018867 | Margaret D. Mahler | Nurse Practitioner | 1014 Saint Clair Blvd, Suite 3030, Gonzales, LA 70737-5023 | 2010-03-05 |
| 1245560036 | Jesse D. Lambert | Psychologist | 1014 Saint Clair Blvd, Suite 1000, Gonzales, LA 70737-5023 | 2009-12-30 |
| 1861635609 | Elizabeth Ann Bollinger | Internal Medicine | 1014 Saint Clair Blvd, Gonzales, LA 70737-5023 | 2009-04-09 |
| 1669611034 | Holly L Edmonds | Physician Assistant | 1014 Saint Clair Blvd, Suite 1000, Gonzales, LA 70737-5023 | 2009-02-09 |
| 1871772202 | W B Kimbrough IIi | Surgery | 1014 Saint Clair Blvd, Suite 3015, Gonzales, LA 70737-5023 | 2007-11-01 |
| 1982892816 | Geoffrey Michael Fraiche | Obstetrics & Gynecology | 1014 Saint Clair Blvd, Suite 3030, Gonzales, LA 70737-5023 | 2007-10-04 |
| 1649467580 | James Newman Williams | Surgery | 1014 Saint Clair Blvd, Suite 3015, Gonzales, LA 70737-5023 | 2007-09-25 |
| 1215146477 | Dawn Sharp | Otolaryngology | 1014 Saint Clair Blvd, Suite 2010, Gonzales, LA 70737-5023 | 2007-05-22 |
| 1821202557 | Amy E Ocmand | Surgery | 1014 Saint Clair Blvd, Suite 3015, Gonzales, LA 70737-5023 | 2007-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1821612631 | Kene Anje Hamilton | Behavioral Analyst | 1028 East Worthy Street, Gonzales, LA 70737 | 2020-06-08 |
| 1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
| 1407347586 | Functional Dme | Prosthetic/Orthotic Supplier | 219 W. Eastbank St., Ste B, Gonzales, LA 70737 | 2018-05-23 |
| 1235631789 | Transporting On Purpose | Non-emergency Medical Transport (VAN) | 42148 Conifer Drive, Gonzales, LA 70737 | 2018-03-01 |
| 1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
| 1215452529 | Lani Litchfield | Specialist/Technologist | 13341 W. Mill Grove Dr, Gonzales, LA 70737 | 2017-08-08 |
| 1326569369 | Tyler Joshua Turner | Counselor | 1923 South Edwards, Gonzales, LA 70737 | 2017-06-29 |
| 1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
| Find all providers in zip 70737 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083683692 | Thomas L. Ewing Md, Apmc | Urology | 1212 Riverview Blvd, Suite 3000, Gonzales, LA 70737-5023 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030005 | Red Envelope Apmc | Urology | 15770 Paul Vega Dr Ste 200, Hammond, LA 70403-1475 | 2020-07-07 |
| 1225670961 | Rajendran Ambiavagar | Urology | 4209 Wakefield Blvd, Alexandria, LA 71303-2958 | 2019-10-15 |
| 1205208402 | Raymond Wendell Turner | Urology | 9854 Jennifer Ln, Shreveport, LA 71106-7716 | 2015-10-27 |
| 1326483678 | Tonye A Jones Jr. | Urology | 105 Medical Center Dr Ste 202, Slidell, LA 70461-5538 | 2013-04-30 |
| 1174966600 | Matthew Donald Strain | Urology | 1111 Medical Center Blvd Ste 650, Marrero, LA 70072 | 2013-04-15 |
| 1619232774 | Jay Heintz M.d. A Professional Medical LLC | Urology | 15770 Paul Vega Dr, Suite 200, Hammond, LA 70403-1475 | 2012-07-05 |
| 1336436252 | Omer Raheem | Urology | 3525 Prytania St Ste 614, New Orleans, LA 70115 | 2011-06-29 |
| 1861794745 | John Richard Enright | Urology | 4080 Locke Ln, Lake Charles, LA 70605-2258 | 2010-11-26 |
| 1164730917 | Jed Robinson | Urology | 2106 Loop Rd Ste B, Winnsboro, LA 71295-3343 | 2010-09-15 |
| 1508181421 | Alvin Simon Merlin | Urology | 4525 Hessmer Ave, Metairie, LA 70002-1525 | 2010-04-03 |
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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.