Campen Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

031202 Issued in GA

Legal business name

CAMPEN DERMATOLOGY, LLC

Practice address

5102 Paulsen St
BLDG. 4
Savannah, GA 31405-4601

Phone

(912) 356-3604

Fax

(912) 356-5801

NPI assigned

Mar 25, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Samantha Anne Mascunana

Title

Office Manager

Phone

(912) 356-3604

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca B Campen, MD

  • Dermatology Physician
  • Savannah, GA
  • NPI 1023086899
  Medicare reassignment Care Compare group NPD
• Alyssa Trenaman Hunt, PA-C

  • Physician Assistant
  • Savannah, GA
  • NPI 1306476965
  Medicare reassignment Care Compare group
• Thomas Johnstone Campen, MD

  • Emergency Medicine Physician
  • Waycross, GA
  • NPI 1497729834
  NPD (past)
• Madeline Marks, PA

  • Physician Assistant
  • Savannah, GA
  • NPI 1104777044
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1336463876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST",
            "address_2": "BLDG. 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054601",
            "telephone_number": "912-356-3604",
            "fax_number": "912-356-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST",
            "address_2": "BLDG. 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054601",
            "telephone_number": "912-356-3604",
            "fax_number": "912-356-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPEN DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "MASCUNANA",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-356-3604",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "GA",
            "license": "031202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edana Campbell
• Kathryn Bauk Campbell, RN, CPNP
• Kirsten Campbell, PT, DPT
• Meghan Marie Campbell, MS, PA-C
• William Joseph Campbell, M.D.
• Campen Eye Care LLC
• Rebecca B Campen, MD
• Marc Campolo, PT
• Kevin Patrick Camps, FNP-BC
• Cancer Care Pavilion Inc

• Dermatology Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.