NPIMap

Individual provider Active NPI

Rodger S Campbell, MD

  • Emergency Medicine Physician
  • Stockton, MO
National Provider Identifier
1336192582
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
105976 Issued in MO
Practice address
106 West Blair Drive
Stockton, MO 65785
Phone
(417) 276-5620
NPI assigned
May 18, 2006
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 105976 MO
Emergency Medicine Physician 207P00000X 105976 MO Primary

Addresses

Primary practice location

106 West Blair Drive
Stockton, MO 65785

Mailing address

106 West Blair Drive
Stockton, MO 65785
Phone (417) 276-5620

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050209000565 MO Practitioner - Emergency MedicinePractitioner - Family Practice 6800847682 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Missouri, Kansas City, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Memorial HospitalGroup PAC ID 7012801129, shared by 4 NPIs, 15 clinicians
Camden Emergency Group LLCGroup PAC ID 2961665369, 31 clinicians

Practice addresses (Care Compare)

35629 Hwy 72
Salem, MO 65560-7217
Phone (573) 729-6626

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105976MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camden Emergency Group LLC Emergency Medicine CurrentSince May 1, 2012 Accepting new patients
Mercy Hospital Carthage Emergency Medicine Current Accepting new patients
Salem Memorial Hospital Current Accepting new patients
Bothwell Regional Health Center CurrentSince Oct 20, 2006 Accepting new patients
Cedar County Memorial Hospital CurrentSince Nov 22, 2022 Accepting new patients
Bothwell Regional Health Center CurrentSince Oct 20, 2006 Accepting new patients
Cedar County Memorial Hospital Emergency Medicine CurrentSince Nov 22, 2022 Accepting new patients
Salem Memorial Hospital CurrentSince Dec 1, 2022 Accepting new patients
Cedar County Memorial Hospital CurrentSince Dec 14, 2022 Accepting new patients
Cedar County Memorial Hospital Past Accepting new patients

Locations

1317 S State Highway 32
El Dorado Springs, MO 64744
Phone (417) 876-3333

1401 S Park St
El Dorado Springs, MO 64744
Phone (417) 876-2511

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

35629 Highway 72
Salem, MO 65560
Phone (573) 729-8000

35629 Highway 72
Bldg 3
Salem, MO 65560
Phone (573) 729-8000

601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833

807 Owens Mill Rd
Stockton, MO 65785
Phone (417) 276-5500

Organizations & group practices 11

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1336192582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WEST BLAIR DRIVE",
            "city": "STOCKTON",
            "state": "MO",
            "postal_code": "65785",
            "telephone_number": "417-276-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WEST BLAIR DRIVE",
            "city": "STOCKTON",
            "state": "MO",
            "postal_code": "65785",
            "telephone_number": "417-276-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "RODGER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "105976",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "105976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, MO

Sources for this page

Verify at the official NPI Registry.