Jacob Dale Campbell, D.O.
NPI 1811301377ActiveIndividual· Surgery, Pediatric Surgery· Farmington, CT
Surgery, Pediatric Surgery (D.O.) in Farmington, Connecticut, trained at Nova Southeastern College of Osteo Medicine (class of 2014). Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1811301377 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jun 12, 2014 |
| Last updated in NPPES | Nov 20, 2023 |
| Certified by provider | Nov 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Pediatric Surgery Primary | 2086S0120X | 75461 | CT |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (CT) |
|---|
Education and affiliations
| Medical school | Nova Southeastern College of Osteo Medicine |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Pediatric Medicine |
Medical group
- Connecticut Children's Specialty Group, IncHartford, CT · 137 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery, Pediatric Surgery providers in Farmington
- 1730522897