CAMPBELL MEDICAL GROUP, MD, PSC NPI 1003000803

Internal Medicine (Adolescent Medicine)

CAMPBELL MEDICAL GROUP, MD, PSC

Campbell Medical Group, Md, Psc is a internal medicine in Glasgow, KY. Campbell Medical Group, Md, Psc NPI is 1003000803. The provider's taxonomy code is 207RA0000X - Internal Medicine.The provider other name is is Campbell Medical Group. An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003000803
Provider Name: CAMPBELL MEDICAL GROUP, MD, PSC
NPI Entity Type: Organization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: N/A
Is Organization Subpart?: No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 09-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 12-05-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Other Organization Name: CAMPBELL MEDICAL GROUP Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Other Name Type: Other Name (5)

Authorized Official Name: MS. JENNIFER DALTON GIBSON RHIT Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Title: OFFICE MANAGER
Authorized Official Phone: (270) 629-3772


Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. License State Is Primary?
1207RA0000X Additional informationCallout TooltipTaxonomy Code - 207RA0000X
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Allopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine34221KYNo
2363L00000X Additional informationCallout TooltipTaxonomy Code - 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner4716PKYNo
3207Q00000X Additional informationCallout TooltipTaxonomy Code - 207Q00000X
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Allopathic & Osteopathic PhysiciansFamily Medicine33935KYYes

Map Location


CAMPBELL MEDICAL GROUP, MD, PSC address is 303 PROFESSIONAL PARK DR GLASGOW, KY 42141 Get Directions