Donna Sue Campbell, M.D.
Individual provider Active NPI Emergency Medicine Physician · Columbus, TX
NPI 1275646804 · NPPES record last updated Nov 4, 2010
Key facts
- NPI
- 1275646804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- H7936 (TX)
- Practice address
- 110 Shult Dr
Columbus, TX 78934-3016 - Phone
- (979) 732-2371
- Fax
- (979) 732-9242
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070207000468 | TX | Practitioner - Emergency Medicine |
3072515865 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Emergency Medicine | Current |
Accepting new patients |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current |
Accepting new patients |
| Wharton Emergency Medicine Associates PA | Emergency Medicine | Past | Accepting new patients |
| Brazos Emergency Physicians, PA | Emergency Medicine | Past | Accepting new patients |
| Matagorda Emergency Medicine Associates PA | Emergency Medicine | Past | Accepting new patients |
Locations
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560
303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891
305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | H7936 | TX | Yes |
Addresses
Primary practice location
110 Shult Dr
Columbus, TX 78934-3016
Mailing address
PO Box 865
Columbus, TX 78934-0865
Phone (979) 732-2371
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140122604 | Medicaid | TX |
Other providers in Columbus, TX
- Kimberly Berger Brandt
- Rosemary Buckle
- Burton Health and Wellness, LLC
- Cody A Burton
- Cahrmc
- Charles Robert Gobert, MD, PLLC
- Nicole Diane Ches
- Colorado County
- Colorado County Surgical Associates, PLLC
- Colorado Valley Anesthesia, LLP
All providers in Columbus, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.