Clovene P Campbell, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

210231 Issued in MA

Practice address

72 Highland Ave
Pediatric Associates of Greater Salem
Salem, MA 01970-2738

Phone

(978) 745-3050

Fax

(978) 745-7014

NPI assigned

Feb 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Yale University School of Medicine, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Pediatric Associates of Greater Salem IncGroup PAC ID 4284648270, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: campbell.clovene.pags@direct.partners.masshiway.net
• Direct secure messaging: clovene.campbell.1@2804.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/2804/brand/1/csg/1/fhir/r4

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.

• Pediatric Associates of Greater Salem, Inc

  • Pediatrics Physician
  • Beverly, MA
  • NPI 1134191125
  Medicare reassignment Care Compare group NPD
• Massachusetts General Physicians Organization Inc

  • Dermatology Physician
  • Boston, MA
  • NPI 1801874573

  Pediatrics

  Medicare reassignment NPD
• The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1023049236
  Medicare reassignment NPD
• NSPG Billing LLC

  • Urology Physician
  • Newburyport, MA
  • NPI 1144981721
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1801868781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 HIGHLAND AVE",
            "address_2": "PEDIATRIC ASSOCIATES OF GREATER SALEM",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702738",
            "telephone_number": "978-745-3050",
            "fax_number": "978-745-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 HIGHLAND AVE",
            "address_2": "PEDIATRIC ASSOCIATES OF GREATER SALEM",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702738",
            "telephone_number": "978-745-3050",
            "fax_number": "978-745-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CLOVENE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "210231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "J25311",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TU",
            "identifier": "210231",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0198382",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Caisse, LICSW
• Diane Caldwell
• Michael G Callum, MD
• Jennifer Calvani, MSW
• Kyleen Cameron-Burr, LCSW
• Lauren Devanna Campbell
• Melissa Campbell
• Pedro Henrique Camperoni Luciano
• Camina T Canada
• Maureen Canney

• Pediatrics Physician in Salem, MA
• Providers in Salem, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.