NPIMap

Individual provider Active NPI

Douglas M. Campbell, MD

  • Orthopaedic Surgery Physician
  • S Burlington, VT
National Provider Identifier
1114951092
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
42-0007452 Issued in VT
Practice address
6 San Remo Dr.
Uvm Medical Center - Orthopedics
S. Burlington, VT 05403
Phone
(802) 862-3983
Fax
(802) 863-7994
NPI assigned
Jul 10, 2006
Last updated
Mar 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 42-0007452 VT Primary

Addresses

Primary practice location

6 San Remo Dr.
Uvm Medical Center - Orthopedics
S. Burlington, VT 05403

Mailing address

6 San Remo Dr.
Uvm Medical Center - Orthopedics
S. Burlington, VT 05403
Phone (802) 862-3983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20040730000647 VT Practitioner - Orthopedic Surgery 6709867492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Michigan State University College of Human Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42-0007452VTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc CurrentSince Mar 1, 2016 Accepting new patients

Locations

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

6 San Remo Dr
South Burlington, VT 05403
Phone (802) 862-3983

6 San Remo Dr
Ste 101
South Burlington, VT 05403
Phone (802) 862-3983

Interoperability endpoints

  • Direct secure messaging: dcampbell4126@direct.uvmhealth.org

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1114951092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SAN REMO DR.",
            "address_2": "UVM MEDICAL CENTER - ORTHOPEDICS",
            "city": "S. BURLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-862-3983",
            "fax_number": "802-863-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SAN REMO DR.",
            "address_2": "UVM MEDICAL CENTER - ORTHOPEDICS",
            "city": "S. BURLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-862-3983",
            "fax_number": "802-863-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DOUGLAS",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VT",
            "license": "42-0007452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in S Burlington, VT

Sources for this page

Verify at the official NPI Registry.