Douglas J Campbell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28543 Issued in AZ

Practice address

1134 W US Highway 60
Superior, AZ 85173-3400

Phone

(520) 689-2423

NPI assigned

Aug 29, 2005

Last updated

Jul 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

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 CenterGroup PAC ID 0648181693, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Billet Home Health Inc - Mesa Home health agency, Mesa, AZ, CCN 037828
• Cobre Valley Regional Medical Center Hospital, Globe, AZ, CCN 031314
• Banner Payson Medical Center Hospital, Payson, AZ, CCN 031318

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cobre Valley Regional Medical Center

  • Critical Access Hospital
  • Globe, AZ
  • NPI 1871566521
  Medicare reassignment Care Compare group NPD
• Cobre Valley Regional Medical Center

  • Community/Retail Pharmacy
  • Globe, AZ
  • NPI 1639384233
  NPD
• Cobre Valley Regional Medical Center

  dba Cobre Valley Family Practice

  • Rural Health Clinic/Center
  • Globe, AZ
  • NPI 1962896167

  Family Medicine

  NPD
• Cobre Valley Regional Medical Center

  dba Cobre Valley Surgical Services

  • Rural Health Clinic/Center
  • Globe, AZ
  • NPI 1538315890
  NPD (past)
• Medical Services of Prescott, Inc.

  • Emergency Medicine Physician
  • Prescott, AZ
  • NPI 1508816257
  NPD (past)

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

• Banner Health

  dba Banner Payson Medical Center

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340
  Care Compare affiliation
• Billet Home Health Inc Mesa

  • Home Health Agency
  • Mesa, AZ
  • NPI 1396497889
  Care Compare affiliation
• Cobre Valley Regional Medical Center

  dba Cobre Valley Regional Medical Center Kearny Ambulance

  • Ambulance
  • Kearny, AZ
  • NPI 1245824747

  Hospital

  Care Compare affiliation
• Cobre Valley Regional Medical Center

  • Community/Retail Pharmacy
  • Globe, AZ
  • NPI 1639384233

  Hospital

  Care Compare affiliation
• Cobre Valley Regional Medical Center

  • Critical Access Hospital
  • Globe, AZ
  • NPI 1871566521
  Care Compare affiliation

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1720071384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 S HOSPITAL DR",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019447",
            "telephone_number": "928-402-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 W US HIGHWAY 60",
            "city": "SUPERIOR",
            "state": "AZ",
            "postal_code": "851733400",
            "telephone_number": "520-689-2423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1672 Oaklawn Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863051106",
            "country_code": "US",
            "telephone_number": "928-445-5339",
            "fax_number": "928-445-3644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5994 S Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Globe",
            "state": "AZ",
            "postal_code": "855019462",
            "country_code": "US",
            "telephone_number": "928-425-7108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "28543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cobre Valley Regional Medical Center (Superior Clinic)
• Randall J Goodfriend
• Christina Hart, LCSW
• Blaine S. Jensen, PA-C
• Karen F Melot, NP

• Family Medicine Physician in Superior, AZ
• Providers in Superior, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.

Verify at the official NPI Registry.