MR. KEVIN SCOTT CAMPBELL SR. (NPI# 1992849780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992849780 |
| Entity Type | Individual |
| Full Name | MR. KEVIN SCOTT CAMPBELL SR. |
| Practice Address |
722 Louisiana Ave Bogalusa LA 70427 |
| Practice Telephone | 9857304357 |
| Practice Fax Number | 9857305267 |
| Mailing Telephone | 9857304357 |
| Mailing Fax Number | 9857305267 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 225000000X | Orthotic Fitter | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1561312 | 05 | |
| LA | BLUE CROSS BLUE SHIELD | 7214531530 | 01 |
| MS | 00440994 | 05 | |
| MS | BLUE CROSS BLUE SHIELD | 7214531530 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356818314 | Kevin W Campbell | Dentist | Norfolk Naval Shipyard Bld 277, Portsmouth, VA 23709 | 2018-10-29 |
| 1205235629 | Kevin Campbell | Physical Therapy Assistant | 474 S Landmark Ave, Bloomington, IN 47403-5000 | 2014-08-21 |
| 1164731956 | Kevin James Campbell | Massage Therapist | 220 3rd Ave Ste 408, Havre, MT 59501-3554 | 2010-09-28 |
| 1346373651 | Kevin Thomas Campbell | Dentist | 6910 N Main St Unit 58, Granger, IN 46530-8412 | 2007-03-14 |
| 1497833834 | Kevin S Campbell | Family Medicine | 200 Fort Sanders West Blvd Ste 304, Knoxville, TN 37922-3360 | 2006-11-02 |
| 1700820776 | Kevin G Campbell | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2006-06-16 |
| 1740281476 | Kevin Jon Campbell | Chiropractor | 118 Gateway Dr., North Sioux City, SD 57049-1427 | 2005-08-03 |
| 1376173567 | Kevin Campbell | Pharmacist | 6901 Preston Rd, Dallas, TX 75205-1186 | 2020-01-16 |
| 1104486745 | Kevin G Campbell | Behavior Technician | 625 The City Dr S Ste 120, Orange, CA 92868-3352 | 2019-06-17 |
| 1124484985 | Kevin Campbell | Physician Assistant | 3120 Carpenter St, Hamtramck, MI 48212-9802 | 2016-01-11 |
| Street Address |
722 LOUISIANA AVE |
| City | BOGALUSA |
| State | LA |
| Zip Code | 70427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811172463 | Body Parts LLC | Durable Medical Equipment & Medical Supplies | 722 Louisiana Ave, Bogalusa, LA 70427-3329 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116368 | Lori Polk | Social Worker | 1640 S. Columbia St., Bogalusa, LA 70427 | 2020-05-19 |
| 1366914400 | Cherie Campbell | Case Manager/Care Coordinator | 311 Louisiana Avenue, Bogalusa, LA 70427 | 2018-12-31 |
| 1184134900 | Danielle Magee-keys | Counselor | 438 Ave U, Bogalusa, LA 70427 | 2017-10-06 |
| 1235656950 | House of Love, LLC | Foster Care Agency | 905 Davenport Ave, Bogalusa, LA 70427 | 2017-08-23 |
| 1811426315 | Shinetra Nicole Partman | Licensed Practical Nurse | 2106 Ave F, Bogalusa, LA 70427 | 2017-06-08 |
| 1265984082 | Behaviroal Health &wellness LLC | Community/Behavioral Health | 302 Richmond Street Suite A, Bogalousa, LA 70427 | 2016-10-27 |
| 1871942888 | Barry Warris Bolton | Community Health Worker | 712b Louisiana Ave, Bogalusa, LA 70427 | 2016-06-09 |
| 1376882696 | Judy Gail Jacobs | Licensed Practical Nurse | 619 Willis Avenue, Bogalusa Mental Health Center, Bogalusa, LA 70427 | 2013-02-06 |
| 1477836922 | Tuyet Le | Pharmacist | 329 Superior Avenue, Bogalusa, LA 70427 | 2011-09-21 |
| 1164755286 | Lorene A Randazzo | Dietitian, Registered | 433 Palm St, Bogalusa, LA 70427 | 2009-09-08 |
| Find all providers in zip 70427 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982259644 | Tyronell Monique Davis | Prosthetist | 4066 Gibson St, New Orleans, LA 70122-1622 | 2019-08-08 |
| 1821550823 | Cheryl Marie Chesser | Prosthetist | 2151 9th St, Kenner, LA 70062-6774 | 2019-04-01 |
| 1083176085 | Brandy Larie Mcneal | Prosthetist | 3700 Lapalco Blvd, Harvey, LA 70058-2311 | 2019-04-01 |
| 1912495409 | Romekia Rachelle Freeman | Prosthetist | 750 E Laurel Ave, Eunice, LA 70535-3516 | 2018-04-30 |
| 1487743696 | Brian Franklin Moore | Prosthetist | 172 Commercial Sq, Slidell, LA 70461-5418 | 2006-10-12 |
| 1427616960 | Tyreyun Johnson | Prosthetist | 235 Central Ave, Edgard, LA 70049-2533 | 2019-05-30 |
| 1982126165 | Catherine Clark | Prosthetist | 2000 Louisiana Ave, New Orleans, LA 70115-5229 | 2017-07-10 |
| 1144473224 | Gaylord Collins | Prosthetist | 2495 Shreveport Hwy, Bld 2 Rm 242, Pineville, LA 71306-9004 | 2008-11-03 |
| 1346499647 | Josh Millet | Prosthetist | 172 Commercial Sq, Slidell, LA 70461-5418 | 2008-09-11 |
Please comment or provide details below to improve the information on MR. KEVIN SCOTT CAMPBELL SR..
| 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.