Individual provider Active NPI

Michael Louis Campbell, M.D.

  • Surgery Physician
  • Bowling Green, KY
National Provider Identifier
1700924743
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
41068 Issued in KY
Practice address
1325 Andrea St Ste 201
Bowling Green, KY 42104-5854
Phone
(270) 843-7557
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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 41068 KY Primary

Addresses

Primary practice location

1325 Andrea St Ste 201
Bowling Green, KY 42104-5854

Mailing address

1325 Andrea St Ste 201
Bowling Green, KY 42104-5854
Phone (270) 843-7557

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MICHAEL.CAMPBELL@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20080403000355 KY Practitioner - General SurgeryPractitioner - Emergency Medicine 8022195841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio County Hospital CorporationGroup PAC ID 3577477264, 84 clinicians

Practice addresses (Care Compare)

1215 Old Main St
Hartford, KY 42347-1619
Phone 27029854015401

Hospital & facility affiliations

  • Ohio County Hospital Hospital, Hartford, KY, CCN 181323
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41068KYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio County Hospital Corporation CurrentSince Jun 1, 2022 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation Past Accepting new patients

Locations

1313 N Main St
Beaver Dam, KY 42320
Phone (270) 274-9928

44 W Main St
Fordsville, KY 42343
Phone (270) 276-3150

1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

3500 Villa Pt
Owensboro, KY 42303
Phone (270) 688-0059

Interoperability endpoints

  • Direct secure messaging: michael.campbell@hca1.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1700924743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 ANDREA ST STE 201",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045854",
            "telephone_number": "270-843-7557",
            "fax_number": "270-393-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 ANDREA ST STE 201",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045854",
            "telephone_number": "270-843-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2022-01-25",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "41068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MICHAEL.CAMPBELL@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1325 Andrea St Ste 201",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421045854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.