Paul Thomas Alban, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301080049 Issued in MI

Practice address

3535 Park St
Suite 101
Norton Shores, MI 49444-3736

Phone

(231) 739-2121

Fax

(231) 739-4130

NPI assigned

Feb 11, 2008

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: palban175006@epic00.corewelldirect.org

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.

• Mercy Health Partners

  • General Acute Care Hospital
  • Muskegon, MI
  • NPI 1831132133
  NPD (past)
• Port City Pediatrics

  • Pediatrics Physician
  • Norton Shores, MI
  • NPI 1558413245
  NPD (past)

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1043488299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16628 NORTHWOOD TRL",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562719",
            "telephone_number": "248-496-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PARK ST",
            "address_2": "SUITE 101",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443736",
            "telephone_number": "231-739-2121",
            "fax_number": "231-739-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBAN",
        "first_name": "PAUL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301080049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA080049",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Adams, M.ED
• Scott A Addison, MD
• Affordable Dentures & Implants - Norton Shores III, P.C.
• Affordable Dentures & Implants - Norton Shores, P.C.
• Brian L Akre, PAC
• Paulina Alexander
• Tiffany Alexander
• Kathryn B Alguire, M.D.
• Align Psychology LLC
• Gabrielle Marie Allbright, PHYSICIAN ASSISTANT

• Pediatrics Physician in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.