Organization Active NPI

Dr. Michael Duchamp DO, PA

  • Orthopaedic Surgery Physician
  • Rockwall, TX
National Provider Identifier
1467783027
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DOH9894 Issued in TX
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

Updated by the provider on Jan 21, 2010

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.NPI 1285728394
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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DOH9894OtherTXLICENSE/PERMIT
096762202MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.