Individual provider Active NPI

Charles Frank Campbell IV, DO

  • Surgery Physician
  • Port Charlotte, FL
National Provider Identifier
1578068334
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS20847 Issued in FL
Practice address
4245 Kings Hwy Unit a
Port Charlotte, FL 33980-8416
Phone
(941) 391-5102
Fax
(941) 391-6937
NPI assigned
Mar 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS20847 FL Primary

Addresses

Primary practice location

4245 Kings Hwy Unit a
Port Charlotte, FL 33980-8416

Mailing address

4245 Kings Hwy Unit a
Port Charlotte, FL 33980-8416
Phone (941) 391-5102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20240613001211 FL Practitioner - General Surgery 4284962127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John F Guarino MD PAGroup PAC ID 0648424978, 4 clinicians

Practice addresses (Care Compare)

4245 Kings Hwy
Unit a
Port Charlotte, FL 33980-8416
Phone (941) 391-5102

Hospital & facility affiliations

  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)21
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux17
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS20847FLMDSurgery Physician

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
John F Guarino MD PA Surgery CurrentSince Sep 1, 2025 Accepting new patients
University Medical Service Association Inc Current Accepting new patients
Tampa General Hospital Current Accepting new patients

Locations

4245 Kings Hwy
Unit A
Punta Gorda, FL 33980
Phone (941) 391-5102

12901 Bruce B Downs Blvd
#62
Tampa, FL 33612

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: ccampbell15326@ukhcdirect.org
  • Direct secure messaging: ccampbell298556@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1578068334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 KINGS HWY UNIT A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808416",
            "telephone_number": "941-391-5102",
            "fax_number": "941-391-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 KINGS HWY UNIT A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808416",
            "telephone_number": "941-391-5102",
            "fax_number": "941-391-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CHARLES",
        "middle_name": "FRANK",
        "name_suffix": "IV",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS20847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.