Sarah C Campbell, MD

Key facts

NPI

1184637795

Entity type

Individual (NPI type 1)

Primary specialty

Pediatrics Physician 208000000X

License

45366 (WI)

Practice address

1506 S. Oneida Street
Pediatrics
Appleton, WI 54915-1569

Phone

(920) 730-4950

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• Ascension Medical Group-Fox Valley Wisconsin, Inc Multi-Specialty Clinic/Center · Neenah, WI · NPI 1730126392
  Medicare reassignment NPD WI
• Ascension Medical Group-Fox Valley Wisconsin, Inc Cardiovascular Disease Physician · Appleton, WI · NPI 1831890177
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 30, 2011.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1184637795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 S. ONEIDA STREET",
            "address_2": "PEDIATRICS",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151569",
            "telephone_number": "920-730-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 S. ONEIDA STREET",
            "address_2": "PEDIATRICS",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151569",
            "telephone_number": "920-730-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SARAH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "45366",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301083413",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35388600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0829560001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS STATE ID",
            "identifier": "SC083413",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "0C16002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104654657",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

• Sara M. Calmes, NP
• Douglas P Calvin, M.D.
• Kathryn R Camilotto, MS/CCC-SLP
• Carrie Mae Campbell
• Keegan Campbell
• Mikayla Cann, DNP, FNP-BC
• Kobi S Caracci, PA-C
• Riley Caracci, PHARMD
• Dominic Theodore Cardelli, MD
• Care and Compassion Counseling, LLC

All providers in Appleton, WI · Pediatrics Physician in Wisconsin