Active NPI
Edward H Dumontier, M.D.
- Family Medicine Physician
- Port Angeles, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD61293488
- Practice address
- 907 Georgiana St
Port Angeles, WA 98362-3911 - Phone
- (360) 565-0999
- Fax
- (360) 565-0852
- NPI assigned
- Dec 22, 2005
- Last updated
- Feb 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R3J59 | MO | |
| Family Medicine Physician | 207Q00000X | MD61293488 | WA | Primary |
Addresses
Primary practice location
907 Georgiana St
Port Angeles, WA 98362-3911
Mailing address
PO Box 850
Port Angeles, WA 98362-0146
Phone (360) 565-0999
Other practice location 1
840 E Hill Ave
Moses Lake, WA 98837-2238
Phone (509) 663-8711
Other practice location 2
3141 Centennial Blvd
Colorado Springs, CO 80907-4094
Phone (573) 330-1128
Other practice location 3
1105 W Liberty St
Suite 4050
Farmington, MO 63640-1921
Phone (573) 756-7844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202612313 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.56 of 100
- Quality
- 80.73
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 74.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkland Health Clinic | Family Medicine | Current | Accepting new patients |
| Physician Groups LC | Family Medicine | Past | Accepting new patients |
| Clallam County Public Hospital District 2 | Past | Accepting new patients | |
| Physician Groups LC | Past | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Locations
1105 W Liberty St
Ste 4050
Farmington, MO 63640
Phone (573) 756-7844
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endocrinology, Diabetes & Metabolism Physician
- Farmington, MO
- NPI 1013993476
Family Medicine
-
dba Olympic Medical Home Health
- Home Health Agency
- Port Angeles, WA
- NPI 1437259165
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1548247315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 850",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983620146",
"telephone_number": "360-565-0999",
"fax_number": "360-565-0852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 GEORGIANA ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983623911",
"telephone_number": "360-565-0999",
"fax_number": "360-565-0852"
}
],
"practiceLocations": [
{
"address_1": "840 E Hill Ave",
"address_purpose": "LOCATION",
"city": "Moses Lake",
"state": "WA",
"postal_code": "988372238",
"country_code": "US",
"telephone_number": "509-663-8711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3141 Centennial Blvd",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809074094",
"country_code": "US",
"telephone_number": "573-330-1128",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1105 W Liberty St",
"address_2": "SUITE 4050",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "MO",
"postal_code": "636401921",
"country_code": "US",
"telephone_number": "573-756-7844",
"fax_number": "573-454-2251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUMONTIER",
"first_name": "EDWARD",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R3J59",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61293488",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202612313",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.