Individual provider Active NPI

Sarah C Campbell, MD

  • Pediatrics Physician
  • Appleton, WI
National Provider Identifier
1184637795
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
45366 Issued in WI
Practice address
1506 S. Oneida Street
Pediatrics
Appleton, WI 54915-1569
Phone
(920) 730-4950
NPI assigned
Aug 14, 2006
Last updated
Nov 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 45366 WI Primary
Pediatrics Physician 208000000X 4301083413 MI

Addresses

Primary practice location

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

Mailing address

1506 S. Oneida Street
Pediatrics
Appleton, WI 54915-1569
Phone (920) 730-4950

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100508000077 WI Practitioner - Pediatric Medicine 6901875988 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Feb 1, 2010 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Feb 1, 2010 Accepting new patients

Locations

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1506 S Oneida St
Fl 5
Appleton, WI 54915
Phone (920) 730-4950

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.