NPIMap

Organization Active NPI

Marcus E Kuypers MD PC

Doing business as Doctors Home Visits

  • Geriatric Medicine (Family Medicine) Physician
  • La Conner, WA
National Provider Identifier
1205907789
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD00019561 Issued in WA
Legal business name
MARCUS E KUYPERS MD PC
Doing business as
Doctors Home Visits
Practice address
104 S First
Suite B
La Conner, WA 98257-0840
Phone
(360) 466-2251
Fax
(360) 466-5673
NPI assigned
Nov 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marcus Eric Kuypers, M.D.NPI 1699875443
Title
President
Phone
(360) 466-2251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD00019561 WA Primary

Addresses

Primary practice location

104 S First
Suite B
La Conner, WA 98257-0840

Mailing address

PO Box 850
104 S. First, Suite B
La Conner, WA 98257-0840
Phone (360) 466-2251

Other identifiers 1

IdentifierTypeStateIssuer
7103674MedicaidWA

Other names 1

  • Doctors Home Visits Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205907789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "address_2": "104 S. FIRST, SUITE B",
            "city": "LA CONNER",
            "state": "WA",
            "postal_code": "982570840",
            "telephone_number": "360-466-2251",
            "fax_number": "360-466-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FIRST",
            "address_2": "SUITE B",
            "city": "LA CONNER",
            "state": "WA",
            "postal_code": "982570840",
            "telephone_number": "360-466-2251",
            "fax_number": "360-466-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS E KUYPERS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUYPERS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-466-2251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD00019561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7103674",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Home Visits",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Conner, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.