THOMAS FREDERICK CAMPBELL (NPI# 1285610774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285610774 |
| Entity Type | Individual |
| Full Name | THOMAS FREDERICK CAMPBELL |
| Credential | MD |
| Practice Address |
1200 6th Avenue North Centracare Clinic River Campus St Cloud MN 56303-2735 |
| Mailing Address |
Centracare Clinic River Campus 1200 6th Avenue North St Cloud MN 56303-2735 |
| Practice Telephone | 3206567024 |
| Practice Fax Number | 3206567026 |
| Mailing Telephone | 3206567024 |
| Mailing Fax Number | 3206567026 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2017-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 25609 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WISCONSIN MA | 32120700 | 01 | |
| PREFERRED ONE | 0641002 | 01 | |
| METRAHEALTH MEDICARE | 160001740 | 01 | |
| CHOICE PLUS | D98325 | 01 | |
| BCBS | 48B94CA | 01 | |
| EMHO | HP13019 | 01 | |
| MEDICA PRIMARY | 0700012 | 01 | |
| UCARE | 107165C280 | 01 | |
| MN | 532865900 | 05 | |
| MN MEDICAL ASSISTANCE | 532865900 | 01 | |
| ARAZ | 23232 | 01 | |
| PEAK PROVIDER NUMBER | 960980641002 | 01 | |
| PREICH PROVIDER NUMBER | 960980641002 | 01 | |
| SELECT CARE | 0707103 | 01 | |
| MEDICA CHOICE | 0707104 | 01 | |
| RR MEDICARE | 160046617 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558628149 | Thomas B Campbell | Family Medicine | 4007 Victoria Ave, College Station, TX 77845-4795 | 2012-04-19 |
| 1710200357 | Thomas Mitchell Campbell | Pharmacist | 193 Hampton Rd, Pomfret Center, CT 06259-1712 | 2010-03-10 |
| 1003936071 | Thomas Nathan Campbell | Chiropractor | 1205 N 23rd St, Beaumont, TX 77706-3601 | 2007-03-30 |
| 1942347414 | Thomas Way Campbell | Psychiatry & Neurology | 113 30th Avenue North, Nashville, TN 37203-1325 | 2007-01-31 |
| 1124180310 | Thomas W Campbell | Dentist | 201 E Baltimore St, Suite 130, Baltimore, MD 21202-1535 | 2006-12-14 |
| 1467552372 | Thomas George Campbell | Social Worker | 389 Orange St, New Haven, CT 06511-6406 | 2006-09-22 |
| 1679521041 | Thomas M Campbell | Neuromusculoskeletal Medicine & OMM | 2 Sharpe St, Kingston, PA 18704-3715 | 2006-05-05 |
| 1578562666 | Thomas W Campbell | Chiropractor | 185 Pasadena Dr, Ste 210, Lexington, KY 40503-2969 | 2005-07-20 |
| 1952306912 | Thomas P Campbell | Ophthalmology | 7920 W 44th Ave, Wheat Ridge, CO 80033-4506 | 2005-06-16 |
| 1972506665 | Thomas J Campbell | Internal Medicine | 800 Austin St, Ste 451e, Evanston, IL 60202-3455 | 2005-05-27 |
| Street Address |
1200 6TH AVENUE NORTH CENTRACARE CLINIC RIVER CAMPUS |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992184097 | Elizabeth A Zasoski | Dietitian, Registered | 1200 6th Avenue North, Centracare Clinic, St Cloud, MN 56303-2735 | 2015-05-21 |
| 1194104299 | Susan Beth Heysse | Dietitian, Registered | 1200 6th Avenue North, Centracare Clinic River Campus Nephrology, St Cloud, MN 56303-2735 | 2015-05-21 |
| 1255627790 | Benjamin Keith Johnson | Internal Medicine | 1200 6th Avenue North, Centracare Clinic River Campus, St Cloud, MN 56303-2735 | 2011-06-23 |
| 1528216868 | Ioannis Karampelas | Neurological Surgery | 1200 6th Avenue North, Centracare Clinic River Campus Neurosurgery, St Cloud, MN 56303-2735 | 2008-08-28 |
| 1649451873 | Anil Kumar Changarath Vijayan | Internal Medicine | 1200 6th Avenue North, Centracare Clinic River Campus, St Cloud, MN 56303-2735 | 2007-11-15 |
| 1235207481 | Jessica Lynne George | Dietitian, Registered | 1200 6th Avenue North, Centracare Clinic River Campus, St Cloud, MN 56303-2735 | 2006-12-04 |
| 1295779809 | Daniel Brent Leslie | Surgery | 1200 6th Avenue North, Centracare Clinic River Campus, St Cloud, MN 56303-2735 | 2006-06-15 |
| 1942276902 | Patrick Michael Lalley | Family Medicine | 1200 6th Avenue North, Centracare Clinic River Campus Palliative Care, St Cloud, MN 56303-2735 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760466130 | Shawn Marie Severson | Obstetrics & Gynecology | 1406 Sixth Ave N, St Cloud, MN 56303-1900 | 2005-11-30 |
| 1326275140 | Jena J Swanson | Obstetrics & Gynecology | 1406 Sixth Ave N, St Cloud, MN 56303-1900 | 2009-06-18 |
| 1992926893 | Lydia M Wade | Obstetrics & Gynecology | 1900 Centra Care Circle, Centra Care Clinic - Women's & Childrens, St Cloud, MN 56303-5000 | 2007-05-01 |
| 1154466209 | Robin C Marushin | Obstetrics & Gynecology | 1900 Centracare Circle, Centracare Clinic Womens & Childrens, St Cloud, MN 56303 | 2007-02-20 |
| 1689745747 | Charles J Snow | Obstetrics & Gynecology | 1406 Sixth Ave N, St Cloud, MN 56303-1900 | 2006-11-12 |
| 1164526299 | Jennifer N Martinson | Obstetrics & Gynecology | 1900 Centracare Circle, St Cloud, MN 56303 | 2006-09-11 |
| 1609857911 | John R Lyons | Obstetrics & Gynecology | 1900 Centracare Circle, St Cloud, MN 56303 | 2005-11-14 |
| 1033100987 | Vickie L Nash | Obstetrics & Gynecology | 1900 Centracare Circle, St Cloud, MN 56303 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316581218 | Catherine Pamela Edwards | Obstetrics & Gynecology | 7048 Highover Ct S, Chanhassen, MN 55317-7569 | 2019-11-04 |
| 1407329139 | Arthur Joseph Horowitz | Obstetrics & Gynecology | 830 Edgemoor Dr, Hopkins, MN 55305-4852 | 2019-01-04 |
| 1710437967 | David Olson | Obstetrics & Gynecology | 8201 Creekside Cir, Bloomington, MN 55437-3836 | 2016-10-12 |
| 1326492182 | Leah Christine Henke | Obstetrics & Gynecology | 688 Holly Ave Apt 5, Saint Paul, MN 55104-7557 | 2016-04-19 |
| 1922402395 | Robert Ross Neal Jr. | Obstetrics & Gynecology | 7917 Wyoming Ct, Bloomington, MN 55438-1092 | 2014-10-14 |
| 1285052027 | Paige Persch | Obstetrics & Gynecology | 6565 France Ave S Ste 300, Edina, MN 55435-2154 | 2014-03-30 |
| 1386065100 | Jennifer Arnhold Md Plc | Obstetrics & Gynecology | 13359 Isle Dr. Suite 2, Baxter, MN 56425-2222 | 2013-12-20 |
| 1598008716 | Sarah Marie Krueger | Obstetrics & Gynecology | 606 24th Ave S Ste 700, Minneapolis, MN 55454-1462 | 2013-04-05 |
| 1922341791 | Matthew Thomas Bigos | Obstetrics & Gynecology | 14001 Ridgedale Dr Ste 200, Minnetonka, MN 55305-1747 | 2013-03-31 |
| 1205191335 | William F Dickes | Obstetrics & Gynecology | 14708 57th St S, Afton, MN 55001-9686 | 2012-07-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.