JESSE R. CAMPBELL (NPI# 1982653721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982653721 |
| Entity Type | Individual |
| Full Name | JESSE R. CAMPBELL |
| Credential | MD |
| Practice Address |
1575 N Santa Fe Ave Edmond OK 73003-3638 |
| Mailing Address |
4401 W Memorial Rd Suite 140 Oklahoma City OK 73134-1785 |
| Practice Telephone | 4052850660 |
| Practice Fax Number | 4052850659 |
| Mailing Telephone | 4057551515 |
| Mailing Fax Number | 4059365211 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2017-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 20229 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OBNDD | 25208 | 01 |
| OK | 100108140A | 05 | |
| OK | LICENSE | 20229 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891271177 | Jesse Gene Campbell | Counselor | 740 N Amelia Ave, San Dimas, CA 91773-1700 | 2018-07-19 |
| Street Address |
1575 N SANTA FE AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73003-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083663322 | Bettina Veronneau | Family Medicine | 1575 N Santa Fe Ave, Edmond, OK 73003-3638 | 2006-05-05 |
| 1548789688 | Tara Ann Henderson | Nurse Practitioner | 1575 N Santa Fe Ave, Edmond, OK 73003-3638 | 2017-09-10 |
| 1487052999 | Courtney Luanne Burns | Nurse Practitioner | 1575 N Santa Fe Ave, Edmond, OK 73003-3638 | 2014-12-15 |
| 1487883633 | Lauren Garabelli | Pediatrics | 1575 N Santa Fe Ave, Edmond, OK 73003-3638 | 2009-07-09 |
| 1710047550 | Mercy Health Network Inc | Family Medicine | 1575 N Santa Fe Ave, Edmond, OK 73003-3638 | 2006-12-11 |
| 1356362073 | Darrel L. Stout | Family Medicine | 1575 N Santa Fe Ave, Edmond, OK 73003-3638 | 2006-07-21 |
| 1164457255 | Matthew S Dowell | Family Medicine | 1575 N Santa Fe Ave, Edmond, OK 73003-3638 | 2006-07-11 |
| 1205868379 | Shawn C. Schlinke | Internal Medicine | 1575 N Santa Fe Ave, Edmond, OK 73003-3638 | 2006-07-07 |
| 1558391466 | Merl W. Simmons | Pediatrics | 1575 N Santa Fe Ave, Edmond, OK 73003-3638 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945202 | Korbin Hally | Dentist | 2600 Tayler Street, Edmond, OK 73003 | 2020-06-04 |
| 1003448325 | Diagnostic Resources, LLC | Physical Medicine & Rehabilitation | 1641 Saratoga Way, Edmond, OK 73003 | 2020-02-05 |
| 1861904021 | Rhonda Diane Pennington | Occupational Therapist | 515 S Santa Fe Ave Ste 103, Edmond, OK 73003 | 2017-10-27 |
| 1588173744 | Hpc Holdings LLC | Clinic/Center | 813 W Covell Rd, Edmond, OK 73003 | 2017-09-20 |
| 1194243568 | Nightengale Chiropractic, LLC | Chiropractor | 2616 Covell Village Dr Ste. 120, Edmond, OK 73003 | 2017-09-06 |
| 1104274927 | Bonsu Osei Asibey | Case Manager/Care Coordinator | 1301 Craig Blvd, Edmond, OK 73003 | 2016-06-02 |
| 1215390810 | Prince Yebo | Case Manager/Care Coordinator | 1817 Redland Dr, Edmond, OK 73003 | 2016-03-31 |
| 1548621691 | Charles Loftis | Physical Therapist | 1321 Fretz Drive, 100, Edmond, OK 73003 | 2016-03-17 |
| 1487013801 | Courage Counseling Center | Community/Behavioral Health | 1400 S. Fretz Ave, Suite 1400, Edmond, OK 73003 | 2016-02-12 |
| 1669889887 | Shannon Gogel | Occupational Therapy Assistant | 1309 Val Genes Rd, Edmond, OK 73003 | 2014-07-21 |
| Find all providers in zip 73003 | ||||
| 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 |
|---|---|---|---|---|
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1770068827 | Absolute Health Medical Partners LLC | Internal Medicine | 1305 Nw 187th St, Edmond, OK 73012-6206 | 2018-09-25 |
| 1386099596 | Michael Thrower Md, Pllc | Internal Medicine | 2000 W Danforth Rd Ste 130-221, Edmond, OK 73003-4687 | 2016-04-26 |
| 1164734075 | Timothy H Cook Md Pllc | Internal Medicine | 2310 Terra Trl, Edmond, OK 73034-3441 | 2010-07-08 |
| 1225349855 | Pm Medical, PC | Internal Medicine | 1508 N Jackson St, Edmond, OK 73034-4328 | 2010-06-29 |
| 1427239664 | Melissa Lynn Cloer | Internal Medicine | 17644 Cobalt Ave, Edmond, OK 73012-4173 | 2007-11-15 |
| 1134325608 | Jeremy Brandon Moad | Internal Medicine | 105 S Bryant Ave Ste 104, Edmond, OK 73034 | 2007-06-22 |
| 1366648859 | Michael Alan Thrower | Internal Medicine | 105 S Bryant Ave Ste 210, Edmond, OK 73034-6331 | 2007-06-22 |
| 1831308899 | Ashlee Michelle Waugh | Internal Medicine | 1701 E 2nd, Edmond, OK 73034-6387 | 2007-05-22 |
| 1396891743 | Michael Shane Hull | Internal Medicine | 105 So. Bryant Ave, Suite 104, Edmond, OK 73034-6330 | 2007-01-26 |
| Find all providers in EDMOND | ||||
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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.