Provider Demographics
NPI:1093558199
Name:CAMPBELL, PAIGE (MD)
Entity type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:
Credentials:MD
Other - Prefix:MISS
Other - First Name:PAIGE
Other - Middle Name:
Other - Last Name:SEBZDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:ONE MELLON WAY
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-1197
Mailing Address - Country:US
Mailing Address - Phone:724-537-1485
Mailing Address - Fax:725-537-1635
Practice Address - Street 1:508 SOUTH CHURCH STREET
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666-1702
Practice Address - Country:US
Practice Address - Phone:724-547-4536
Practice Address - Fax:724-613-5206
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT232173390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program