Jacob D Campbell, DO
Surgery, Pediatric Surgery in Farmington, Connecticut
1811301377- Practice location
- Uconn School Of Medicine Dept Of Surgery, 263 Farmington Ave, Farmington, CT 06030-3955
- Phone
- 860-679-2147
- Fax
- 860-679-4624
- Last updated
- November 20, 2023
Jacob Dale Campbell is a Surgery, Pediatric Surgery based in Farmington, CT. Jacob Dale Campbell practices in Farmington, CT and has the professional credentials of DO. The NPI Number for Jacob Dale Campbell is 1811301377 and holds a License No. 75461 (CT). The current practice location address for Jacob Dale Campbell is Uconn School Of Medicine Dept Of Surgery, 263 Farmington Ave, Farmington, CT 06030-3955 and can be reached out via phone at 860-679-2147 and via fax at 860-679-4624.
Provider Profile Details
- NPI Number
- 1811301377
- Provider Name
- Jacob Dale Campbell
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Uconn School Of Medicine Dept Of Surgery, 263 Farmington Ave, Farmington, CT 06030-3955
- Phone Number
- 860-679-2147
- Fax Number
- 860-679-4624
- Primary Taxonomy
- Surgery, Pediatric Surgery · 2086S0120X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 12, 2014
- Last Update Date
- November 20, 2023
- Certification Date
- November 20, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Uconn School Of Medicine Dept Of Surgery
263 Farmington Ave
Farmington, CT 06030-3955 - City
- Farmington
- State
- Connecticut
- Zip
- 06030-3955
- Phone Number
- 860-679-2147
- Fax Number
- 860-679-4624
Provider Business Mailing Address Details
- Address
- Uconn School Of Medicine Dept Of Surgery
263 Farmington Ave
Farmington, CT 06030-3955 - City
- Farmington
- State
- CT
- Zip
- 06030-3955
- Phone Number
- 860-679-2147
- Fax Number
- 860-679-4624
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 75461
- License State (2)
- CT
- Taxonomy (2)
- Surgery, Pediatric Surgery · 2086S0120X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery, Pediatric Surgery providers near Farmington, CT
View all Surgery, Pediatric Surgery providers in Farmington →- Dr. Katerina Dukleska, MDSurgery, Pediatric Surgery · NPI 1730522897
- Dr. Shari Jarrett, MDEmergency Medicine · NPI 1669933628
- University Of Connecticut Health CenterClinical Medical Laboratory · NPI 1427031293
- Marian A Javier Saldana, MDStudent in an Organized Health Care Education/Training Program · NPI 1720915986
- Enxhi FerrajPhysician Assistant, Surgical · NPI 1942041033
- Slow And Steady Counseling & WellnessSocial Worker, Clinical · NPI 1801719463
Frequently Asked Questions
What is the NPI number of Jacob D Campbell, DO?
The NPI number of Jacob D Campbell, DO is 1811301377. It was assigned on June 12, 2014 and is currently active in the NPPES registry.
What is the specialty of Jacob D Campbell, DO?
Jacob D Campbell, DO is registered under the primary taxonomy Surgery, Pediatric Surgery (code 2086S0120X), licensed in CT under license number 75461.
Where does Jacob D Campbell, DO practice?
The practice location is Uconn School Of Medicine Dept Of Surgery, 263 Farmington Ave, Farmington, CT 06030-3955. The office can be reached at 860-679-2147 (phone) or 860-679-4624 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811301377 directly on the NPPES registry website.