Douglas J Campbell, M.D.
Individual provider Active NPI Family Medicine Physician · Superior, AZ
NPI 1720071384 · NPPES record last updated Jul 13, 2023
Key facts
- NPI
- 1720071384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 28543 (AZ)
- Practice address
- 1134 W US Highway 60
Superior, AZ 85173-3400 - Phone
- (520) 689-2423
- NPI assigned
- Aug 29, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cobre Valley Regional Medical Center
Practice addresses (Care Compare)
5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (928) 425-3247
5990 S Hospital Dr
Globe, AZ 85501-9462
Phone (928) 425-8151
5994 S Hospital Dr
Globe, AZ 85501-9462
Phone (928) 425-7108
Hospital & facility affiliations
- Billet Home Health Inc - Mesa
- Cobre Valley Regional Medical Center
- Banner Payson Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050908000459 | AZ | Practitioner - Family Practice | 4789616087 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28543 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cobre Valley Regional Medical Center | Current |
Accepting new patients | |
| Cobre Valley Regional Medical Center | Family Medicine | Current |
Accepting new patients |
| Cobre Valley Regional Medical Center | Current | Accepting new patients | |
| Cobre Valley Regional Medical Center | Family Medicine | Past | Accepting new patients |
| Medical Services of Prescott, Inc. | Past | Accepting new patients |
Locations
5990 S Hospital Dr
Globe, AZ 85501
Phone (520) 402-9319
5994 S Hospital Dr
Globe, AZ 85501
Phone (928) 425-7108
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
1134 W US Highway 60
Superior, AZ 85173
Phone (520) 689-2423
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28543 | AZ | Yes |
Addresses
Primary practice location
1134 W US Highway 60
Superior, AZ 85173-3400
Mailing address
5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (928) 402-1131
Other practice location 1
1672 Oaklawn Dr
Prescott, AZ 86305-1106
Phone (928) 445-5339
Other practice location 2
5994 S Hospital Dr
Globe, AZ 85501-9462
Phone (928) 425-7108
Other providers in Superior, AZ
- Cobre Valley Regional Medical Center
- Randall J Goodfriend
- Christina Hart
- Blaine S. Jensen
- Karen F Melot
All providers in Superior, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.