William Mark Immel, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

686 Issued in OR

Practice address

1234 Rhododendron Dr
Suite 1-B
Florence, OR 97439-7406

Phone

(541) 902-8860

Fax

(541) 902-8860

NPI assigned

Jun 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. William Mark Immel Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wellspring Clinic

  • Clinic/Center
  • Florence, OR
  • NPI 1518481258
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649475435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2746",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974390165",
            "telephone_number": "541-902-8860",
            "fax_number": "541-902-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 RHODODENDRON DR",
            "address_2": "SUITE 1-B",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974397406",
            "telephone_number": "541-902-8860",
            "fax_number": "541-902-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMMEL",
        "first_name": "WILLIAM",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "IMMEL",
            "middle_name": "MARK",
            "prefix": "DR.",
            "credential": "N.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jeffrey Hughes, MPAS, P. A.
• Daren Hunt
• Thomas John Hunt, DMD
• Icco LLC
• Patricia Immel, L.AC.
• Infinity Anesthesia LLC
• Fadi I Jabr, M.D.
• Robert Leonard Jacques, M.D.
• Ian Mitchell Jarman, D.C.
• Pernilla L Johansson, LCSW

• Naturopath in Florence, OR
• Providers in Florence, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.