Active NPI
Dale Keith Campbell, M.D.
- Family Medicine Physician
- Corsicana, TX
National Provider Identifier
1851384648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F3808
- Practice address
- 401 Hospital Dr Ste 140
Corsicana, TX 75110-2415 - Phone
- (903) 201-6405
- Fax
- (903) 641-7502
- NPI assigned
- Aug 26, 2005
- Last updated
- Dec 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F3808 | TX | Primary |
Addresses
Primary practice location
401 Hospital Dr Ste 140
Corsicana, TX 75110-2415
Mailing address
401 Hospital Dr Ste 140
Corsicana, TX 75110-2415
Phone (903) 201-6405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060811000180 | TX | Practitioner - Family Practice | 6204839285 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corsicana-Navarro County Public Health District | Current | Accepting new patients | |
| Patient Place P.a. | Family Medicine | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Family Medicine | Past | Accepting new patients |
| Regional Employee Assistance Program Inc | Family Medicine | Past | Accepting new patients |
Locations
401 Hospital Dr
Ste 140
Corsicana, TX 75110
Phone (903) 201-6405
618 N Main St
Corsicana, TX 75110
Phone (903) 874-6711
Interoperability endpoints
- dale.campbell.1@29197.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- State or Local Public Health Clinic/Center
- Corsicana, TX
- NPI 1164467742
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
Family Medicine
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1851384648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 HOSPITAL DR STE 140",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751102415",
"telephone_number": "903-201-6405",
"fax_number": "903-641-7502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 HOSPITAL DR STE 140",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751102415",
"telephone_number": "903-201-6405",
"fax_number": "903-641-7502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "DALE",
"middle_name": "KEITH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F3808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corsicana, TX
- Buffalo RX LLC (Buffalo RX)
- Kelisha Burnett, LMT
- Madeleine Marie Byrne, PSYD
- Tara Bzdok, RD, CSR, LD
- Veronica Camacho
- Robert Campbell, MD
- Mary-Ellen Owen Casper, AU.D., CCC-A
- Cayt's Place, Inc
- Homero Javier Chapa, M.D.
- Chest Diagnostic Therapeutic SVCS & Transit Nursing of TX, Inc (Chest Diagnostic Therapeutic Services, Inc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.