Active NPI
Paul M. Julien PLLC
- Otolaryngology Physician
- Newport, VT
National Provider Identifier
1104091909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 042-0010859
- Legal business name
- PAUL M. JULIEN PLLC
- Practice address
- 637 Union St
Newport, VT 05855-5498 - Phone
- (802) 334-9009
- Fax
- (802) 334-9022
- NPI assigned
- Apr 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul M Julien, MD
- Title
- Member
- Phone
- (802) 334-9009
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 042-0010859 | VT | Primary |
Addresses
Primary practice location
637 Union St
Newport, VT 05855-5498
Mailing address
PO Box 808
Newport, VT 05855-0808
Phone (802) 334-9009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011153 | Medicaid | VT |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1208908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1104091909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 808",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058550808",
"telephone_number": "802-334-9009",
"fax_number": "802-334-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 UNION ST",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058555498",
"telephone_number": "802-334-9009",
"fax_number": "802-334-9022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL M. JULIEN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-23",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "JULIEN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "802-334-9009",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "VT",
"license": "042-0010859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011153",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.