LISA L. CAMPBELL M.D. – NPI #1124145040
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Health Care Provider Taxonomy Code for Dermatology

LISA CAMPBELL is a dermatologist located in DE PERE, WI. NPPES has assigned the NPI number 1124145040 to LISA CAMPBELL on March 24, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 11 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was last updated on Dec 11, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LISA CAMPBELL below.

NPI Profile for
LISA L. CAMPBELL

NPI Number
1124145040
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LISA L. CAMPBELL
Credentials
M.D.
Primary location
1400 SCHEURING RD
DE PERE, WI 54115-1067
Phone: (920) 964-0229 Fax: (920) 686-9674
11 Other location(s):
3500 Ludington St Ste 300
Escanaba, MI 49829-4218
Phone: (906) 553-6093
Fax: (906) 553-6958
500 Campus Dr
Hancock, MI 49930-1452
Phone: (906) 523-2223
Fax: (906) 523-2227
1007 Harbor Hills Dr Ste C
Marquette, MI 49855-8977
Phone: (906) 225-5458
Fax: (906) 225-1179
3935 N Lightning Dr
Appleton, WI 54913-6717
Phone: (920) 968-1790
Fax: (920) 968-1794
2806 Riverview Dr
Green Bay, WI 54313-6717
Phone: (920) 498-7546
Fax: (920) 569-4129
715 Superior Rd Ste 120
Green Bay, WI 54311-7595
Phone: (920) 406-9803
Fax: (920) 406-9934
1610 Maxwell Dr Ste 210
Hudson, WI 54016-4004
Phone: (715) 386-5278
Fax: (715) 386-5508
3515 Murray St
Marinette, WI 54143-3367
Phone: (715) 732-0699
Fax: (715) 732-3522
2351 State Road 44
Oshkosh, WI 54904-6333
Phone: (920) 651-8855
Fax: (920) 385-0287
5501A Vern Holmes Dr
Stevens Point, WI 54482-9791
Phone: (715) 344-0172
Fax: (715) 344-3684
510 N 17th Ave Ste C
Wausau, WI 54401-4281
Phone: (715) 849-5333
Fax: (715) 849-4083
Mailing address
801 YORK ST
MANITOWOC, WI 54220-4630
Phone: (920) 663-9008 Fax: (920) 684-1439
Sole Proprietor
No
Updated
Certification Date
Dec 11, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LISA CAMPBELL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherMEDICAREWI382000020
otherMEDICAREWI171400016
otherRAILROAD MEDICAREWIP00720349
otherSTATE LICENSEWI50518-020
medicaidWI1124145040
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)		 PA MD430734
207ND0101X
- Dermatology / MOHS-Micrographic Surgery		 MI 4301105435

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1007 HARBOR HILLS DR STE C,
MARQUETTE, MI 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1400 SCHEURING RD,
DE PERE, WI 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1610 MAXWELL DR STE 210,
HUDSON, WI 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
2351 STATE ROAD 44,
OSHKOSH, WI 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
2806 RIVERVIEW DR,
GREEN BAY, WI 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
3500 LUDINGTON ST STE 300,
ESCANABA, MI 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
3515 MURRAY ST,
MARINETTE, WI 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
3935 N LIGHTNING DR,
APPLETON, WI 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
500 CAMPUS DR,
HANCOCK, MI 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
510 N 17TH AVE STE C,
WAUSAU, WI 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
5501A VERN HOLMES DR,
STEVENS POINT, WI 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
715 SUPERIOR RD STE 120,
GREEN BAY, WI 77025-1669

Additional Information

Education
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE - Graduated 2002
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
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How do I correct or change the NPI data displayed here?
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