Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Dale Campbell, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811301377

Jacob Dale Campbell, DO is a Pediatric Medicine in Farmington, Connecticut. Graduated from Nova Southeastern College of Osteo Medicine in 2014, 12 years ago. Practices with Connecticut Children's Specialty Group, Inc, a 144-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
12
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
CT
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Partly verified

Some contact details are missing from the federal record.

Uconn School Of Medicine Dept OF Surgery 263 Farmington Ave
Farmington, CT 06030-3955
Phone: (860) 679-2147
Fax: (860) 679-4624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 282 Washington St Fl 1, Hartford, CT 06106-3322 — (860) 545-9520

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 75461 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811301377
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 12, 2014
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023
Mailing addressUconn School Of Medicine Dept Of Surgery, 263 Farmington Ave, Farmington, CT 06030-3955

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2014 (12 years in practice)
Group practice Connecticut Children'S Specialty Group, Inc — 144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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