Individual provider Active NPI

Elizabeth Campbell Assenmacher, M.D.

  • Surgery Physician
  • Jackson, MI
National Provider Identifier
1609169507
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301098543 Issued in MI
Practice address
744 W Michigan Ave
Jackson, MI 49201-1900
Phone
(517) 205-3120
NPI assigned
May 25, 2011
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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 4301098543 MI Primary

Addresses

Primary practice location

744 W Michigan Ave
Jackson, MI 49201-1900

Mailing address

744 W Michigan Ave
Jackson, MI 49201-1900

Other names 1

  • Dr. Elizabeth M Campbell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ecampbell14186@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20161012001755 MI Practitioner - General Surgery 2466740147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wayne State University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

744 W Michigan Ave
200 Henry Ford Allegiance General Surgery
Jackson, MI 49201-1900
Phone (517) 205-3120

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301098543MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital, Inc CurrentSince Oct 1, 2016 Accepting new patients
W.a. Foote Memorial Hospital, Inc Surgery CurrentSince Oct 1, 2016 Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
Henry Ford Pathology Current Accepting new patients
W.a. Foote Memorial Hospital Past Accepting new patients
Wa Foote Memorial Hospital, Inc Past Accepting new patients
Mid-Michigan Gastroenterology Consultants PC Past Accepting new patients

Locations

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1100 E Michigan Ave
Ste 209
Jackson, MI 49201
Phone (517) 205-8346

1100 E Michigan Ave
Ste 300
Jackson, MI 49201
Phone (517) 782-5857

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

744 W Michigan Ave
Jackson, MI 49201
Phone (517) 205-3120

744 W Michigan Ave
Ste 200
Jackson, MI 49201
Phone (517) 205-3120

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

Organizations & group practices 7

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 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": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1609169507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011900",
            "telephone_number": "517-205-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSENMACHER",
        "first_name": "ELIZABETH",
        "middle_name": "CAMPBELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301098543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecampbell14186@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "744 W Michigan Ave",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492011900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CAMPBELL",
            "middle_name": "M",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.