Individual provider Active NPI

Mark Stephen Duhamel, E.A.M.P.

  • Acupuncturist
  • Port Orchard, WA
National Provider Identifier
1346319712
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00002491 Issued in WA
Practice address
700 Prospect St
Suite 101
Port Orchard, WA 98366-5399
Phone
(360) 621-8310
Fax
(866) 313-4004
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00002491 WA Primary

Addresses

Primary practice location

700 Prospect St
Suite 101
Port Orchard, WA 98366-5399

Mailing address

700 Prospect St
Suite 101
Port Orchard, WA 98366-5399
Phone (360) 621-8310

Other identifiers 1

IdentifierTypeStateIssuer
11618016OtherWACAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Many Paths Acupuncture, PC Acupuncturist Current Accepting new patients

Locations

700 Prospect St
Ste 101
Port Orchard, WA 98366
Phone (360) 876-2322

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1346319712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PROSPECT ST",
            "address_2": "SUITE 101",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665399",
            "telephone_number": "360-621-8310",
            "fax_number": "866-313-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PROSPECT ST",
            "address_2": "SUITE 101",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665399",
            "telephone_number": "360-621-8310",
            "fax_number": "866-313-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUHAMEL",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "credential": "E.A.M.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11618016",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.