Provider Demographics
NPI:1154307403
Name:CAMPION, SHARON M (MD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:M
Last Name:CAMPION
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2038
Mailing Address - Country:US
Mailing Address - Phone:508-856-0590
Mailing Address - Fax:508-852-1022
Practice Address - Street 1:630 PLANTATION ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2038
Practice Address - Country:US
Practice Address - Phone:508-856-0590
Practice Address - Fax:580-852-1022
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA74058208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
J30379OtherMEDICARE B
2039821OtherFIRST HEALTH
9901021OtherFALLON COMMUNITY HELATH P
J30379OtherBLUE SHIELD HMO BLUE
042472266OtherPRIVATE HEALTHCARE SYSTEM
042472266OtherTHREE RIVERS
26783OtherCHILDRENS MEDICAL SECURIT
457053OtherTUFTS HEALTH PLAN
784118OtherMVP HEALTH CARE
3104605OtherMEDICAID/WELFARE
J30379OtherBLUE SHIELD INDEMNITY
MA3104605Medicaid
AA1168OtherHARVARD PILGRIM HEALTHCAR
0011288OtherCIGNA HEALTH PLAN
042472266OtherONE HEALTH PLAN
7617400OtherAETNA/US HEALTHCARE
26783OtherHEALTHY START
J30379OtherBLUE CARE ELECT
J30379OtherBLUE SHIELD HMO BLUE
7617400OtherAETNA/US HEALTHCARE