Active NPI
Allan L. Paul M.D., PC
- Pediatric Adolescent Medicine Physician
- Alamogordo, NM
National Provider Identifier
1124233903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 8857
- Legal business name
- ALLAN L. PAUL M.D., PC
- Practice address
- 2559 Medical Dr
Ste E
Alamogordo, NM 88310-8703 - Phone
- (505) 437-5595
- Fax
- (505) 437-1330
- NPI assigned
- May 14, 2007
- 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
- Dr. Allan Lewis Paul, M.D.
- Title
- President
- Phone
- (505) 437-5595
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 8857 | NM | Primary |
Addresses
Primary practice location
2559 Medical Dr
Ste E
Alamogordo, NM 88310-8703
Mailing address
2559 Medical Dr
Ste E
Alamogordo, NM 88310-8703
Phone (505) 437-5595
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79488285 | Medicaid | NM | |
| A002 | Other | NM | TRICARE |
| 10003502 | Other | NM | LOVELACE SALUD |
| QMYPR0072232 | Other | NJ | MOLINA HEALTHCARE |
| NM012112 | Other | NM | BC BS |
National Provider Directory
National Provider DirectoryLocations
2559 Medical Dr
Ste E
Alamogordo, NM 88310
Phone (505) 437-5595
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Albuquerque, NM
- NPI 1730128430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124233903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2559 MEDICAL DR",
"address_2": "STE E",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883108703",
"telephone_number": "505-437-5595",
"fax_number": "505-437-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2559 MEDICAL DR",
"address_2": "STE E",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883108703",
"telephone_number": "505-437-5595",
"fax_number": "505-437-1330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLAN L. PAUL M.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PAUL",
"authorized_official_first_name": "ALLAN",
"authorized_official_middle_name": "LEWIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "505-437-5595",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NM",
"license": "8857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79488285",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A002",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE SALUD",
"identifier": "10003502",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTHCARE",
"identifier": "QMYPR0072232",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "NM012112",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.