Laura R Paulk, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME76046 Issued in FL

Practice address

12920 Sugarbluff Rd
Clermont, FL 34715-6834

Phone

(407) 810-3148

NPI assigned

Sep 27, 2005

Sex

Female

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Florida Cancer Specialists & Research Institute, LLC

  • Medical Oncology Physician
  • Bradenton, FL
  • NPI 1508973231

  Diagnostic Radiology

  NPD (past)
• Florida Institute of Research Medicine and Surgery PA

  • Hematology & Oncology Physician
  • Orlando, FL
  • NPI 1053388538
  NPD (past)
• Medical Center Radiology Group of DRS Curry Harding George & Eliscu

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1902965536
  NPD (past)
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1174519813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12920 SUGARBLUFF RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347156834",
            "telephone_number": "407-810-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12920 SUGARBLUFF RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347156834",
            "telephone_number": "407-810-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULK",
        "first_name": "LAURA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME76046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254231500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Patoir
• Patrick G Fairchild MD PA
• Brian Lee Patterson, MD
• Emily Marie Patterson, SLPA
• Paul McTurk LLC
• PC Endo South PA
• PC Endo South PA
• PCP Clermont Opco LLC
• PCR-X Logistics LLC
• Peace in It Togeather

• Diagnostic Radiology Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.