Active NPI
Pamela Jean Campbell, DO
- Obstetrics & Gynecology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2003009196
- Practice address
- 10012 Kennerly Rd
Suite 405
Saint Louis, MO 63128-2197 - Phone
- (314) 525-4880
- Fax
- (314) 525-4881
- NPI assigned
- Jul 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2003009196 | MO | Primary |
Addresses
Primary practice location
10012 Kennerly Rd
Suite 405
Saint Louis, MO 63128-2197
Mailing address
10012 Kennerly Rd Ste 405
Saint Louis, MO 63128-2197
Phone (314) 525-4880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208400101 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10012 Kennerly Rd
Suite 405
Saint Louis, MO 63128-2197
Phone (314) 525-4880
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Obstetrics & Gynecology | Current | Accepting new patients |
| Mercy Clinic East Communities | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Mercy Hospitals East Communities | Past | Accepting new patients |
Locations
12700 Southfork Rd
Ste 280
Saint Louis, MO 63128
Phone (314) 525-4990
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
12700 Southfork Rd
Ste 230
Saint Louis, MO 63128
Phone (314) 525-4880
10012 Kennerly Rd
Ste 405
Saint Louis, MO 63128
Phone (314) 378-9864
10012 Kennerly Rd
Ste 406
Saint Louis, MO 63128
Phone (314) 525-1224
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
12700 Southfork Rd
Ste 220
Saint Louis, MO 63128
Phone (314) 525-1200
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Obstetrics & Gynecology
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1720635329
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1447259304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD STE 405",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-525-4880",
"fax_number": "314-525-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD",
"address_2": "SUITE 405",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-525-4880",
"fax_number": "314-525-4881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "PAMELA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2003009196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208400101",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.