Donald Leroy Kampschmidt, M.D.

Individual provider Active NPI Family Medicine Physician · Carrollton, MO

NPI 1891801684 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1891801684
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
R4B82 (MO)
Practice address
204 Johnson Cir
Carrollton, MO 64633-1950
Phone
(660) 542-3418
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R4B82MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll County Memorial Hospital Family Medicine Past
since Jan 1, 2006
Accepting new patients
Saint Luke'S Hospital of Trenton Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R4B82 MO Yes

Addresses

Primary practice location

204 Johnson Cir
Carrollton, MO 64633-1950

Mailing address

204 Johnson Cir
Carrollton, MO 64633-1950
Phone (660) 542-3418

Other providers in Carrollton, MO

All providers in Carrollton, MO · Family Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.