Roche Keegan Campbell, CSTFA

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Practice address

9400 Turkey Lake Rd
Orlando, FL 32819-8001

Phone

(407) 810-7968

Fax

(407) 240-7681

NPI assigned

Feb 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Surgery Assistants of Orlando Inc

  • Surgical Technologist
  • Orlando, FL
  • NPI 1821277153
  NPD (past) Authorized official
• Advanced Surgery Center of Orlando LLC

  • Ambulatory Surgical Clinic/Center
  • Orlando, FL
  • NPI 1326309394
  NPD

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1447398078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691418",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328691418",
            "telephone_number": "407-810-7968",
            "fax_number": "407-240-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 TURKEY LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198001",
            "telephone_number": "407-810-7968",
            "fax_number": "407-240-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ROCHE",
        "middle_name": "KEEGAN",
        "name_prefix": "Mr.",
        "credential": "CSTFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Libby Theo Campbell, PHD LMHC
• Maryjane Campbell, PHD
• Michael S. Campbell, PHDLCSW
• Qwanda Campbell
• Robert M Campbell
• Rose Marie Campbell, MSW
• Sherece Shadae Campbell
• Veneshia Campbell
• Jamiah Briana Camper-Mitchell
• Kyler Camper, OD

• Surgical Technologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Surgical Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.