NPIMap

Individual provider Active NPI

Amy O Campbell, MD

  • Internal Medicine Physician
  • Boulder, CO
National Provider Identifier
1033108642
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42919 Issued in CO
Practice address
2880 Folsom St Ste 100
Boulder, CO 80304-3769
Phone
(303) 327-7047
Fax
(303) 443-7168
NPI assigned
Oct 17, 2005
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42919 CO Primary

Addresses

Primary practice location

2880 Folsom St Ste 100
Boulder, CO 80304-3769

Mailing address

2575 Spruce St
Boulder, CO 80302-3806
Phone (303) 449-3594

Other practice location 1

2575 Spruce St
Boulder, CO 80302-3806
Phone (303) 449-3594 ext. 106

Other names 1

  • Dr. Amy Oconor Maiocco Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907000448 CO Practitioner - Internal Medicine 4688640154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Colorado School of Medicine, Denver, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Internal Medicine PCGroup PAC ID 0840282422, 5 clinicians

Practice addresses (Care Compare)

2880 Folsom St
Suite 100
Boulder, CO 80304-3739

2880 Folsom St
Suite 100
Boulder, CO 80304-3769

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42919COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Internal Medicine PC Internal Medicine CurrentSince Apr 1, 2012 Accepting new patients

Locations

2880 Folsom St
Ste 100
Boulder, CO 80304
Phone (303) 247-9696

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFGACA/Endpoint/HFGACA

Organizations & group practices 1

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

Hospital & facility affiliations 72

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1033108642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 SPRUCE ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803023806",
            "telephone_number": "303-449-3594",
            "fax_number": "303-447-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 FOLSOM ST STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043769",
            "telephone_number": "303-327-7047",
            "fax_number": "303-443-7168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2575 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803023806",
            "country_code": "US",
            "telephone_number": "303-449-3594 x106",
            "fax_number": "303-447-0462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "AMY",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "42919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MAIOCCO",
            "middle_name": "OCONOR",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.