Constance Blair Campbell (NPI# 1124355144, PAC ID# 0042463804) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1124355144 |
| PAC ID by PECOS | 0042463804 |
| Professional Enrollment ID | I20151118002586 |
| Full Name | Constance Blair Campbell |
| Organization Legal Name | COMMUNITY HEALTH CARE |
| Address |
10510 Gravelly Lake Dr Sw Lake Wood Clinic Lakewood WA 98499-5036 |
| Phone Number | 2535897030 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1850201559 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500108 | ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10510 Gravelly Lake Dr Sw, Lake Wood Clinic, Lakewood, WA 98499-5036 | 2535897030 | COMMUNITY HEALTH CARE |
| Organization Legal Name | COMMUNITY HEALTH CARE |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aleksandr Borishkevich | Physician Assistant | Community Health Care | 134 188th S St, Spanaway, WA 98387-4618 |
| Diana Chia | Nurse Practitioner | Community Health Care | 11225 Pacific S Ave, Parkland Clinic, Tacoma, WA 98444-5525 |
| Sheree Yanique Natalia Sharpe | Family Medicine | Community Health Care | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 |
| Carri Jo Timmer | Family Medicine | Community Health Care | 1708 E 44 St, Kimi and George Tanbera Md Health Center, Tacoma, WA 98404-4611 |
| Partha S Gonavaram | Family Medicine | Community Health Care | 10510 Gravelly Lake Dr Sw, Lake Wood Clinic, Lakewood, WA 98499-5036 |
| Jestyn M Cummings | Nurse Practitioner | Community Health Care | 1708 E 44 St, Kimi and George Tanbera Md Health Center, Tacoma, WA 98404-4611 |
| Abigail Elizabeth Kress | Family Medicine | Community Health Care | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 |
| Stephanie C Penalver | Family Medicine | Community Health Care | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 |
| Gary F Reichard | Family Medicine | Community Health Care | 1708 E 44 St, Kimi and George Tanbera Md Health Center, Tacoma, WA 98404-4611 |
| Stacie S Beck | Family Medicine | Community Health Care | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 |
| Street Address |
10510 GRAVELLY LAKE DR SW LAKE WOOD CLINIC |
| City | LAKEWOOD |
| State | WA |
| Zip | 98499-5036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Partha S Gonavaram | Family Medicine | Community Health Care | 10510 Gravelly Lake Dr Sw, Lake Wood Clinic, Lakewood, WA 98499-5036 |
| Erin J Longley | Family Medicine | Community Health Care | 10510 Gravelly Lake Dr Sw, Lake Wood Clinic, Lakewood, WA 98499-5036 |
| Blanca Zuniga | Family Medicine | Community Health Care | 10510 Gravelly Lake Dr Sw, Lake Wood Clinic, Lakewood, WA 98499-5036 |
| Patrick D Vigil | Family Medicine | Community Health Care | 10510 Gravelly Lake Dr Sw, Lake Wood Clinic, Lakewood, WA 98499-5036 |
| Kimberly G. Sales | Nurse Practitioner | Community Health Care | 10510 Gravelly Lake Dr Sw, Lake Wood Clinic, Lakewood, WA 98499-5036 |
| Holly L Torgerson | Nurse Practitioner | Community Health Care | 10510 Gravelly Lake Dr Sw, Lake Wood Clinic, Lakewood, WA 98499-5036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayleigh Odgear | Occupational Therapy | Multicare Health System | 9514 Gravelly Lake Dr Sw, Lakewood, WA 98499-1514 |
| Nicole Marie Lippert | Physical Therapy | Multicare Health System | 9514 Gravelly Lake Dr Sw, Lakewood, WA 98499-1514 |
| Dina Marie Acosta | Physical Therapy | Multicare Health System | 9514 Gravelly Lake Dr Sw, Lakewood, WA 98499-1514 |
| Bonnie Margaret Edwards | Clinical Social Worker | 9311 Bridgeport Way Sw, Lakewood, WA 98499-1570 | |
| Erik M Wells | Chiropractic | 6141 93rd St Sw, Lakewood, WA 98499-2401 | |
| Jennifer M Ray | Chiropractic | 6302 93rd St Sw, Lakewood, WA 98499-2408 | |
| Lance W Lorfeld | Chiropractic | 9004 Bridgeport Way Sw, Lakewood, WA 98499-2416 | |
| Dale L Tosland | Optometry | Bridgeport Family Vision Clinic Pllc | 9101 Bridgeport Swway C, Lakewood, WA 98499-2419 |
| Tracy R Johnson | Oral Surgery | 9101 Bridgeport Way Sw, Suite B2, Lakewood, WA 98499-2419 | |
| Brett Efosa Igbinoba | Optometry | Bridgeport Family Vision Clinic Pllc | 9101 Bridgeport Swway C, Lakewood, WA 98499-2419 |
| Find all physicians in zip 98499 | |||
| City | LAKEWOOD |
| Zip Code | 98499 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAKEWOOD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Constance Blair Campbell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.