Active NPI
Juliet Marie De Campos, M.D.
- Orthopaedic Surgery Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME69848
- Practice address
- 4900 Bayou Blvd Ste 107
Pensacola, FL 32503-2543 - Phone
- (850) 741-2814
- Fax
- (850) 741-2948
- NPI assigned
- Apr 11, 2006
- Last updated
- Mar 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | ||
| Orthopaedic Surgery Physician | 207X00000X | ME69848 | FL | Primary |
Addresses
Primary practice location
4900 Bayou Blvd Ste 107
Pensacola, FL 32503-2543
Mailing address
PO Box 30010
Pensacola, FL 32503-1010
Phone (850) 479-3320
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590-54047 | Other | AL | BLUE CROSS BLUE SHIELD |
| 009907575 | Medicaid | AL | |
| 253484300 | Medicaid | FL | |
| 200043453 | Other | MEDICARE RAILROAD | |
| 42560 | Other | FL | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4884
Phone (850) 934-2000
660 Glades Rd
Suite 360
Boca Raton, FL 33431-6469
Phone (561) 391-5515
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortho Florida, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Ortho Florida, LLC | Specialist | Current | Accepting new patients |
Locations
660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792
41 Fairpoint Dr
Ste B
Gulf Breeze, FL 32561
Phone (850) 733-3636
4900 Bayou Blvd
Ste 107
Pensacola, FL 32503
Phone (850) 476-6060
1040 Gulf Breeze Pkwy
Ste 200
Pensacola Beach, FL 32561
Phone (850) 916-8711
1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Boca Raton, FL
- NPI 1821113192
-
- Specialist
- Pensacola, FL
- NPI 1922117845
-
dba Wells Orthopedic Surgery & Sports Medicine
- Orthopaedic Surgery Physician
- Fort Lauderdale, FL
- NPI 1225833858
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
dba Gulf Breeze Hospital
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
-
dba Ascension Sacred Heart Pensacola
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1730142647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30010",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325031010",
"telephone_number": "850-479-3320",
"fax_number": "850-479-8789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 BAYOU BLVD STE 107",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032543",
"telephone_number": "850-741-2814",
"fax_number": "850-741-2948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE CAMPOS",
"first_name": "JULIET",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2022-03-16",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME69848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "590-54047",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009907575",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253484300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "200043453",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "42560",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.