Active NPI
Dr. Michael Duchamp DO, PA
- Orthopaedic Surgery Physician
- Rockwall, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- DOH9894
- Legal business name
- DR. MICHAEL DUCHAMP DO, PA
- Practice address
- 930 W Ralph Hall Pkwy
Suite 108
Rockwall, TX 75032-6665 - Phone
- (972) 772-8577
- Fax
- (972) 772-8575
- NPI assigned
- Jan 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael David Duchamp, D.O.
- Title
- President
- Phone
- (972) 772-8577
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | DOH9894 | TX | Primary |
Addresses
Primary practice location
930 W Ralph Hall Pkwy
Suite 108
Rockwall, TX 75032-6665
Mailing address
PO Box 506
Rockwall, TX 75087-0506
Phone (972) 772-8577
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DOH9894 | Other | TX | LICENSE/PERMIT |
| 096762202 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
4211 Joe Ramsey Blvd E
Ste 205
Greenville, TX 75401
Phone (903) 408-1950
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Orthopaedic Surgery Physician
- Rockwall, TX
- NPI 1285728394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264032000000",
"number": "1467783027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 506",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750870506",
"telephone_number": "972-772-8577",
"fax_number": "972-772-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 W RALPH HALL PKWY",
"address_2": "SUITE 108",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750326665",
"telephone_number": "972-772-8577",
"fax_number": "972-772-8575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. MICHAEL DUCHAMP DO, PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-21",
"last_updated": "2010-01-21",
"status": "A",
"authorized_official_last_name": "DUCHAMP",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-772-8577",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "DOH9894",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE/PERMIT",
"identifier": "DOH9894",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096762202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.