Individual provider Active NPI

Benjamin Stumpf, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Camas, WA
National Provider Identifier
1659798098
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
OP60856076 Issued in WA
Practice address
602 NE 3Rd Ave Ste E
Camas, WA 98607-2152
Phone
(360) 258-1746
Fax
(360) 326-2271
NPI assigned
Mar 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OP60856076 WA Primary

Addresses

Primary practice location

602 NE 3Rd Ave Ste E
Camas, WA 98607-2152

Mailing address

602 NE 3Rd Ave Ste E
Camas, WA 98607-2152
Phone (360) 258-1746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191009000649 WA Practitioner - Osteopathic Manipulative MedicinePractitioner - General Practice 8628363827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: General Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3400 SE 196TH Ave
Suite 100
Camas, WA 98607-8862
Phone (360) 818-7317

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP60856076WAMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Optimization LLC Neuromusculoskeletal Medicine & Omm CurrentSince Aug 15, 2019 Accepting new patients

Locations

3400 SE 196th Ave
Ste 100
Camas, WA 98607
Phone (360) 818-7317

602 NE 3rd Ave
Ste E
Camas, WA 98607
Phone (360) 258-1746

Interoperability endpoints

  • Direct secure messaging: totalosteopathicmedicine.benstumpf@143704.advancedmd-direct.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1659798098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 NE 3RD AVE STE E",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072152",
            "telephone_number": "360-258-1746",
            "fax_number": "503-286-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 NE 3RD AVE STE E",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072152",
            "telephone_number": "360-258-1746",
            "fax_number": "360-326-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMPF",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "WA",
            "license": "OP60856076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camas, WA

Sources for this page

Verify at the official NPI Registry.