Active NPI
Paul C Ludlow, MD
- Facial Plastic Surgery Physician
- Reno, NV
National Provider Identifier
1043216500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 3496
- Practice address
- 75 Pringle Way Ste 509
Reno, NV 89502-1469 - Phone
- (775) 324-3800
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 3496 | NV | Primary |
Addresses
Primary practice location
75 Pringle Way Ste 509
Reno, NV 89502-1469
Mailing address
59 Damonte Ranch Pkwy # B557
Reno, NV 89521-1907
Phone (775) 324-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002016138 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3496 | NV | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Lyon Health Center, Inc. | Past | Accepting new patients | |
| Elko ENT Specialists | Past | Accepting new patients | |
| Mt Grant General Hospital | Past | Accepting new patients | |
| Prime Healthcare Services - Reno LLC | Past | Accepting new patients | |
| Bud a. West, M. D., LTD. | Past | Accepting new patients | |
| Sparks Family Hospital Inc | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Otolaryngology Physician
- Elko, NV
- NPI 1437272481
-
- Otolaryngology Physician
- Reno, NV
- NPI 1093730905
-
- Critical Access Hospital
- Hawthorne, NV
- NPI 1801844527
-
- General Acute Care Hospital
- Reno, NV
- NPI 1801152566
-
- Physical Therapist
- Yerington, NV
- NPI 1407815194
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1548250582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1043216500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 DAMONTE RANCH PKWY # B557",
"city": "RENO",
"state": "NV",
"postal_code": "895211907",
"telephone_number": "775-324-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 PRINGLE WAY STE 509",
"city": "RENO",
"state": "NV",
"postal_code": "895021469",
"telephone_number": "775-324-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDLOW",
"first_name": "PAUL",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NV",
"license": "3496",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002016138",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.