Carrie Ann Norman-Campanelli, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

34-00-6612 Issued in OH

Practice address

107 Javit CT
Austintown, OH 44515-2410

Phone

(330) 797-0407

Fax

(330) 793-1431

NPI assigned

Oct 29, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

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.

• Austintown Pediatrics Inc

  • Pediatrics Physician
  • Youngstown, OH
  • NPI 1841584356
  NPD (past)

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

{
    "created_epoch": "1130544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483315200000",
    "number": "1811988991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 JAVIT CT",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152410",
            "telephone_number": "330-797-0407",
            "fax_number": "330-793-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 JAVIT CT",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152410",
            "telephone_number": "330-797-0407",
            "fax_number": "330-793-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN-CAMPANELLI",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-29",
        "last_updated": "2017-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34-00-6612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2055065",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda L Nelson, PRS
• New Day Recovery
• Amy Lynne Nezbeth
• Lillian Nice
• Elizabeth Norberg
• Northern Ohio Medical Specialists, LLC (NOMS Ankle & Foot Care Center)
• Blair William O'Dell, PHARMD
• Brian J O'Malley, LPN
• Nicole O'Neill
• William Odem, CDCA

• Pediatrics Physician in Austintown, OH
• Providers in Austintown, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; 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.