Paul MD LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

PAUL MD LLC

Practice address

7300 Susan Springs Dr
West Chester, OH 45069-4082

Phone

(513) 325-4625

Fax

(513) 777-4693

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Pawel M Szczykutowicz, MDNPI 1831142439

Title

Owner

Phone

(513) 793-1580

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH, KY2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pawel M Szczykutowicz, M.D.

  • Internal Medicine Physician
  • Edgewood, KY
  • NPI 1831142439

  OH

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1013062710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643450",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452640308",
            "telephone_number": "513-325-4625",
            "fax_number": "513-777-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SUSAN SPRINGS DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694082",
            "telephone_number": "513-325-4625",
            "fax_number": "513-777-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "SZCZYKUTOWICZ",
        "authorized_official_first_name": "PAWEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-793-1580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC6890",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2948538",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John M Patierno, D.M.D.
• Samantha Patla
• Gaynelle Patrick
• Leeann Dawn Patrick
• Amanda M Patton, AT
• Michelle Paulding
• Rachel N Pauls, MD
• Janna Pavlina
• Kaelah B Payne, APRN, FNP-C
• Valerie Payne, COTA/L

• Geriatric Medicine (Internal Medicine) Physician in West Chester, OH
• Providers in West Chester, OH by specialty
• Geriatric Medicine (Internal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.