Organization Active NPI

Stephen Paulus DO PLLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Shelburne, VT
National Provider Identifier
1093507170
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
STEPHEN PAULUS DO PLLC
Practice address
145 Pine Haven Shores Rd Ste 2061
Shelburne, VT 05482-7815
Phone
(802) 489-5470
Fax
(802) 497-0867
NPI assigned
May 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Dr. Stephen Paulus, DONPI 1831240092
Title
Physician
Phone
(802) 489-5470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X Primary

Addresses

Primary practice location

145 Pine Haven Shores Rd Ste 2061
Shelburne, VT 05482-7815

Mailing address

145 Pine Haven Shores Rd Ste 2061
Shelburne, VT 05482-7815
Phone (802) 489-5470

Other names 1

  • Stephen Paulus, DO Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251114001119 VT Part B Supplier - Clinic/Group Practice 7618468901 Receives reassigned benefits from 1 practitioner
Practice locations: Shelburne, VT

National Provider Directory

National Provider Directory
Tax ID family
Stephen Paulus DO2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1093507170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PINE HAVEN SHORES RD STE 2061",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827815",
            "telephone_number": "802-489-5470",
            "fax_number": "802-497-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PINE HAVEN SHORES RD STE 2061",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827815",
            "telephone_number": "802-489-5470",
            "fax_number": "802-497-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN PAULUS DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "PAULUS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "802-489-5470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen Paulus, DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shelburne, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.