Dea Denise Campbell, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

108529 Issued in MO

Practice address

417 Park LN
Chillicothe, MO 64601-1550

Phone

(660) 646-3400

Fax

(660) 646-3410

NPI assigned

Jun 16, 2005

Last updated

Apr 7, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Grace Weekend Clinic, Inc

  • Family Medicine Physician
  • Chillicothe, MO
  • NPI 1225125461
  Authorized official Same address or phone
• Family Health Center, Inc.

  • Family Medicine Physician
  • Chillicothe, MO
  • NPI 1669697660
  NPD (past)
• Preferred Family Healthcare, Inc.

  dba Clarity Healthcare

  • Federally Qualified Health Center (FQHC)
  • Hannibal, MO
  • NPI 1306721709
  NPD (past)
• Saint Luke's Hospital of Trenton

  dba Wright Memorial Hospital

  • Emergency Medicine Physician
  • Trenton, MO
  • NPI 1851572234
  NPD (past)
• Saint Lukes Hospital of Chillicothe

  dba Hedrick Medical Center

  • Emergency Medicine Physician
  • Chillicothe, MO
  • NPI 1245433127
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1275538324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 PARK LN",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011550",
            "telephone_number": "660-646-3400",
            "fax_number": "660-646-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 PARK LN",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011550",
            "telephone_number": "660-646-3400",
            "fax_number": "660-646-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DEA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "108529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "249792037",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596074500",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret K. Brookshier, L.P.C.
• Caarec, LLC
• Mary Frances Cady, PHARMD.
• Scott Allen Cady, PHARMD
• Cal W Greenlaw MD PC
• Chillicothe Family Pharmacy, LLC (Chillicothe Family Pharmacy)
• Chillicothe Family Pharmacy, LLC
• Chillicothe Manor I LLC
• Chillicothe R-II School District
• Chillicothe Womens Clinic LLC

• Family Medicine Physician in Chillicothe, MO
• Providers in Chillicothe, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.