Jonathan Michael Campbell, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

32938 Issued in NE

Practice address

1650 Cochrane Cir # B7500
Ft Carson, CO 80913-4613

Phone

(719) 526-2092

Fax

(719) 526-7732

NPI assigned

Feb 3, 2019

Last updated

Jun 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Pathology

Education

Uniformed Services Uhs Fe Hebert School of Med, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lutheran Hospital Association of the San Luis ValleyGroup PAC ID 4789589094, 146 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• San Luis Valley Regional Medical Center Hospital, Alamosa, CO, CCN 060008
• Rio Grande Hospital Hospital, Del Norte, CO, CCN 061301

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lutheran Hospital Association of the San Luis Valley

  dba San Luis Valley Health Regional Medical Center

  • General Acute Care Hospital
  • Alamosa, CO
  • NPI 1235181744
  Medicare reassignment Care Compare group NPD
• Lutheran Hospital Association of the San Luis Valley

  dba SLV Regional Medical Center

  • Orthopaedic Surgery Physician
  • La Jara, CO
  • NPI 1063690600
  NPD
• Lutheran Hospital Association of the San Luis Valley

  dba SLV Health La Jara Clinic

  • Rural Health Clinic/Center
  • La Jara, CO
  • NPI 1942511019
  NPD (past)

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

• Lutheran Hospital Association of the San Luis Valley

  dba San Luis Valley Health Regional Medical Center

  • General Acute Care Hospital
  • Alamosa, CO
  • NPI 1235181744
  Care Compare affiliation
• Valley Citizens' Foundation for Health Care Inc

  dba Rio Grande Hospital

  • Critical Access Hospital
  • Del Norte, CO
  • NPI 1396783981
  Care Compare affiliation
• Valley Citizens' Foundation for Health Care Inc

  dba Rio Grande Hospital Clinic at South Fork

  • Critical Access Hospital Clinic/Center
  • South Fork, CO
  • NPI 1699266718
  Care Compare affiliation
• Valley Citizens' Foundation for Health Care Inc

  dba Creede Family Practice of Rio Grande Hospital

  • Critical Access Hospital Clinic/Center
  • Creede, CO
  • NPI 1851882989
  Care Compare affiliation

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

{
    "created_epoch": "1549152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1235694381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR # B7500",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-2092",
            "fax_number": "719-526-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR # B7500",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-2092",
            "fax_number": "719-526-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-03",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NE",
            "license": "32938",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "32938",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Callahan, D.M.D.
• Timothy J. Camasta, PAC
• Megan Jo Cameron, DVM
• Benjamin Chad Campbell, PHARMD
• Heather L Campbell, PHD
• Koko Camita Cantrell, CRNA
• Elena Grace Cantwell
• Stefanie Ursula Carey, PA
• Lynnay Carona, LCSW
• Keagan Carpenter, OTD, OTR/L, BCPR

• Anatomic Pathology & Clinical Pathology Physician in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Anatomic Pathology & Clinical Pathology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.