Shea K Campbell (NPI# 1871979195, PAC ID# 1951618081) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1871979195 |
| PAC ID by PECOS | 1951618081 |
| Professional Enrollment ID | I20150922001027 |
| Full Name | Shea K Campbell |
| Organization Legal Name | RISE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY LLC |
| Address |
12691 W Smokey Dr Suite 128 Surprise AZ 85378-3800 |
| Phone Number | 6232931945 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7214296417 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12691 W Smokey Dr, Suite 128, Surprise, AZ 85378-3800 | 6232931945 | RISE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY LLC |
| Organization Legal Name | RISE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Jagodzinski | Physical Therapy | Rise Orthopedic and Sports Physical Therapy LLC | 12691 W Smokey Dr, Suite 128, Surprise, AZ 85378-3800 |
| Street Address |
12691 W SMOKEY DR SUITE 128 |
| City | SURPRISE |
| State | AZ |
| Zip | 85378-3800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie L Grusecki | Qualified Audiologist | 12691 W Smokey Dr, 131 Grusecki Audiology and Hearing Aid Services LLC, Surprise, AZ 85378-3703 | |
| Mark A Jagodzinski | Physical Therapy | Rise Orthopedic and Sports Physical Therapy LLC | 12691 W Smokey Dr, Suite 128, Surprise, AZ 85378-3800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vijayabhanu Mahadevan | Rheumatology | Arthritis Consultants PC | 12665 W Smokey Dr, Suite 140, Surprise, AZ 85378-3703 |
| Rajbir Gulati | Rheumatology | Arthritis Consultants PC | 12665 W Smokey Dr, Suite 140, Surprise, AZ 85378-3703 |
| Charles Clark Jr. | Chiropractic | Arrowhead Family Health Center PC | 17061 N Ave of The Arts, Suite 100, Surprise, AZ 85378-6996 |
| Heather A Roshetko | Nurse Practitioner | Raghav LLC | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 |
| Lisa Marie Demidowich | Podiatry | Raghav LLC | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 |
| John P Moran | Family Medicine | Raghav LLC | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 |
| Robert C Waldrip | Orthopedic Surgery | 12361 W Bola Dr, Suite 100, Surprise, AZ 85378-9021 | |
| Annette H Tuszynski | Nurse Practitioner | Sun Pain Management Pllc | 12361 W Bola Dr, Suite 100, Surprise, AZ 85378-9021 |
| Susan Tek | Audiologist | Northland Hearing Centers Inc | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 |
| Angel M Johnson | Nurse Practitioner | Arizona Primary Care Physicians LLC | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 |
| Find all physicians in zip 85378 | |||
| City | SURPRISE |
| Zip Code | 85378 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SURPRISE + PHYSICAL THERAPY |
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| 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.