ELISABETH MARIE CAMPBELL P.A. NPI 1114228251

NPI Information

NPI: 1114228251
Provider Name: ELISABETH MARIE CAMPBELL, P.A.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
114 WOODLAND ST
DEPTARTMENT OF SURGERY
HARTFORD, CT
ZIP 06105
Phone: (860) 714-5237
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Elisabeth Marie Campbell, P.A. is a surgical physician assistant in Hartford, CT. Elisabeth Marie Campbell, P.A. NPI is 1114228251. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

114 WOODLAND ST
DEPTARTMENT OF SURGERY
HARTFORD, CT
ZIP 06105-208
Phone: (860) 714-5237

The NPI 1114228251 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/5/2010 and was last updated on 7/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA9105547	FLORIDA	No
2	363AS0400X	Physician Assistant	Surgical	3094	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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