NPIMap

Individual provider Active NPI

Paula Lajean Denson, M.D.

  • Family Medicine Physician
  • Woodville, TX
National Provider Identifier
1073510285
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F7150 Issued in TX
Practice address
104 N. Beech St
Woodville, TX 75979
Phone
(409) 283-7303
Fax
(409) 283-7852
NPI assigned
Jul 1, 2005
Last updated
Apr 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F7150 TX Primary

Addresses

Primary practice location

104 N. Beech St
Woodville, TX 75979

Mailing address

P.O. Box 729
104 N. Beech St
Woodville, TX 75979
Phone (409) 283-7303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303000407 TX Practitioner - Family Practice 0840335725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tyler County Hospital DistrictGroup PAC ID 1951212588, 4 clinicians

Practice addresses (Care Compare)

104 N Beech
Woodville, TX 75979-4718
Phone (409) 283-2822

1100 W Bluff St
Woodville, TX 75979-4738
Phone (409) 283-8141

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler County Hospital District Current Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Tyler County Hospital District Past Accepting new patients
Tyler County Hospital District Past Accepting new patients

Locations

104 N Beech St
Woodville, TX 75979
Phone (409) 283-2822

1100 W Bluff St
Woodville, TX 75979
Phone (409) 283-6400

Interoperability endpoints

  • Direct secure messaging: pauladenson@tchfamilym.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Woodville Health and Rehabilitation CenterWoodville, TX, CCN 675120 Skilled nursing facility Adp of the SNF Dec 1, 2003

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1073510285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 729",
            "address_2": "104 N. BEECH ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "75979",
            "telephone_number": "409-283-7303",
            "fax_number": "409-283-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N. BEECH ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "75979",
            "telephone_number": "409-283-7303",
            "fax_number": "409-283-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENSON",
        "first_name": "PAULA",
        "middle_name": "LAJEAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F7150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, TX

Sources for this page

Verify at the official NPI Registry.