ELISABETH MARIE CAMPBELL P.A.
NPI 1114228251
Physician Assistant - Surgical in Hartford, CT

NPI Status: Active since November 05, 2010

Contact Information

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

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  • Individual
  • Female
  • Physician Assistant
  • Surgical
  • PECOS Enrolled

About ELISABETH CAMPBELL

This page provides the complete NPI Profile along with additional information for Elisabeth Campbell, a provider established in Hartford, Connecticut with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1114228251 assigned on November 2010. The practitioner's primary taxonomy code is 363AS0400X with license number 3094 (CT). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1114228251
Provider Name
ELISABETH MARIE CAMPBELL P.A.
Gender
Female
Entity Type
Individual
Location Address
114 WOODLAND ST DEPTARTMENT OF SURGERY HARTFORD, CT 06105
Location Phone
(860) 714-5237
Mailing Address
114 WOODLAND ST DEPARTMENT OF SURGERY HARTFORD, CT 06105
Mailing Phone
(860) 714-5237
Is Sole Proprietor?
No
Enumeration Date
11-05-2010
Last Update Date
07-22-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
3094
License State
CT

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA9105547 (FL)

Medicare Participation & PECOS Enrollment Status

Elisabeth Campbell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114228251, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 4 + 2 + 1 + 6 + 2 + 1 + 0 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1114228251.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
114 WOODLAND ST
HARTFORD, CT 06105
Internal Medicine (Infectious Disease)
114 WOODLAND ST, INFECTIOUS
HARTFORD, CT 06105
Pediatrics (Neonatal-Perinatal Medicine)
114 WOODLAND ST, NICU
HARTFORD, CT 06105
Pediatrics (Neonatal-Perinatal Medicine)
114 WOODLAND ST, NICU
HARTFORD, CT 06105
Internal Medicine (Pulmonary Disease)
114 WOODLAND ST, PULMONARY
HARTFORD, CT 06105
Internal Medicine (Pulmonary Disease)
114 WOODLAND ST, PULMONARY
HARTFORD, CT 06105
Physician Assistant
114 WOODLAND ST, NICU
HARTFORD, CT 06105
Physician Assistant
114 WOODLAND ST, NICU
HARTFORD, CT 06105
Nurse Practitioner (Neonatal, Critical Care)
114 WOODLAND ST, NICU
HARTFORD, CT 06105
Physician Assistant (Medical)
114 WOODLAND ST, NICU
HARTFORD, CT 06105
Physician Assistant
114 WOODLAND ST, NICU
HARTFORD, CT 06105
Physician Assistant (Surgical)
114 WOODLAND ST, DEPT OF SURGERY
HARTFORD, CT 06105
Physician Assistant
114 WOODLAND ST, PEDIATRICS DEPARTMENT
HARTFORD, CT 06105
Nurse Practitioner (Gerontology)
114 WOODLAND ST, DEPT OF GERIATRICS
HARTFORD, CT 06105
Physician Assistant
114 WOODLAND ST, NICU
HARTFORD, CT 06105
Physician Assistant (Surgical)
114 WOODLAND ST, DEPT OF SURGERY
HARTFORD, CT 06105
Physician Assistant (Surgical)
114 WOODLAND ST, DEPT OF SURGERY
HARTFORD, CT 06105
Physician Assistant (Surgical)
114 WOODLAND ST, DEPT OF SURGERY
HARTFORD, CT 06105
Physician Assistant (Surgical)
114 WOODLAND ST, DEPT OF SURGERY
HARTFORD, CT 06105
Physician Assistant (Surgical)
114 WOODLAND ST, DEPT OF SURGERY
HARTFORD, CT 06105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114228251, enumerated as an "individual" on November 05, 2010.

The provider is located at 114 WOODLAND ST DEPTARTMENT OF SURGERY HARTFORD, CT 06105 and the phone number is (860) 714-5237.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.