Stacie L Campo (NPI# 1417111576, PAC ID# 4082886338) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1417111576 |
| PAC ID by PECOS | 4082886338 |
| Professional Enrollment ID | I20111007000600 |
| Full Name | Stacie L Campo |
| Organization Legal Name | MISSOULA SURGICAL PLLC |
| Address |
500 W Broadway Missoula MT 59802-4008 |
| Phone Number | 4065427525 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7012820202 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 270023 | COMMUNITY MEDICAL CENTER |
| 271343 | PROVIDENCE ST JOSEPH MEDICAL CENTER |
| 270014 | ST. PATRICK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 W Broadway, Missoula, MT 59802-4008 | 4065427525 | MISSOULA SURGICAL PLLC |
| Organization Legal Name | MISSOULA SURGICAL PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis X Kattine | General Surgery | Missoula Surgical Pllc | 500 W Broadway, Missoula, MT 59802-4008 |
| John J Pickens | General Surgery | Missoula Surgical Pllc | 500 W Broadway, Missoula, MT 59802-4008 |
| Adam Deutchman | General Surgery | Missoula Surgical Pllc | 500 W Broadway, Missoula, MT 59802-4008 |
| Street Address |
500 W BROADWAY |
| City | MISSOULA |
| State | MT |
| Zip | 59802-4008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| August Denicco Iii | Anesthesiology | Missoula Anesthesiology PC | 500 W Broadway, St Patrick Hospital, Missoula, MT 59802-4008 |
| Alistair J Macdonald | Anesthesiology | Missoula Anesthesiology PC | 500 W Broadway, St Patrick Hospital, Missoula, MT 59802-4008 |
| Bruce A Bollen | Anesthesiology | Missoula Anesthesiology PC | 500 W Broadway, St Patrick Hospital, Missoula, MT 59802-4008 |
| John R Kirkeide | Anesthesiology | Missoula Anesthesiology PC | 500 W Broadway, St Patrick Hospital, Missoula, MT 59802-4008 |
| Cordel A Anderson | Anesthesiology | Missoula Anesthesiology PC | 500 W Broadway, St Patrick Hospital, Missoula, MT 59802-4008 |
| Steven M Hulsey | Anesthesiology | Missoula Anesthesiology PC | 500 W Broadway, St Patrick Hospital, Missoula, MT 59802-4008 |
| Peter L Brinkley | Anesthesiology | Missoula Anesthesiology PC | 500 W Broadway, St Patrick Hospital, Missoula, MT 59802-4008 |
| Lawrence G Kettwich | Anesthesiology | Missoula Anesthesiology PC | 500 W Broadway, St Patrick Hospital, Missoula, MT 59802-4008 |
| Steven C Onstad | Anesthesiology | Missoula Anesthesiology PC | 500 W Broadway, St Patrick Hospital, Missoula, MT 59802-4008 |
| Darren F Gray | Anesthesiology | Missoula Anesthesiology PC | 500 W Broadway, St Patrick Hospital, Missoula, MT 59802-4008 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul J Mann | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Laura E Marx | Nurse Practitioner | 825 W Kent Ave, Missoula, MT 59802 | |
| Ragna M Thorne-thomsen | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Aric A Thorne-thomsen | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Megan Sproull | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Noah M Bray | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Robert J Gillespie | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Carissa A Benjamin | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Danielle Chapin | Physician Assistant | Partnership Health Center Inc | 1150 Sherwood St, Missoula, MT 59802-2377 |
| Angela Marie Ireland | Physician Assistant | Partnership Health Center Inc | 1150 Sherwood St, Missoula, MT 59802-2377 |
| Find all physicians in zip 59802 | |||
| City | MISSOULA |
| Zip Code | 59802 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MISSOULA + GENERAL SURGERY |
Please comment or provide details below to improve the information on Stacie L Campo.
| 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.