Active NPI
Stephen Paul, MD
- Pediatric Hematology & Oncology Physician
- Morgantown, WV
National Provider Identifier
1194713008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 23065
- Practice address
- 1 Medical Center Dr
Morgantown, WV 26506 - Phone
- (304) 598-4800
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD057257L | PA | |
| Pediatrics Physician | 208000000X | 23065 | WV | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | MD057257L | PA | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 23065 | WV | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Morgantown, WV 26506
Mailing address
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone (304) 598-4800
Other practice location 1
3509 N Broad St
Philadelphia, PA 19140-4105
Phone (215) 707-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015493170004 | Medicaid | PA |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | spaul897@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | spaul897@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | spaul897@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD057257L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Hospitals, Inc. | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Hospitals Inc | Pediatrics | Current | Accepting new patients |
| Wvu Medical Corporation | Pediatrics | Current | Accepting new patients |
| West Virginia University Medical Corporation | Pediatrics | Current | Accepting new patients |
| West Virginia University Hospitals, Inc. | Current | Accepting new patients | |
| Cooper Pediatric Specialists, PC | Pediatrics | Past | Accepting new patients |
| West Virginia University Hospitals, Inc | Past | Accepting new patients | |
| Cooper Pediatrics | Pediatrics | Past | Accepting new patients |
Locations
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1598847634
Pediatrics
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
Pediatrics
-
- Rehabilitation Hospital Unit
- Morgantown, WV
- NPI 1760209225
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Emergency Medicine Physician
- Uniontown, PA
- NPI 1225693484
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
-
- Pediatrics Physician
- Camden, NJ
- NPI 1306867585
-
- Pediatrics Physician
- Camden, NJ
- NPI 1144268277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1194713008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265061200",
"telephone_number": "304-598-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26506",
"telephone_number": "304-598-4800"
}
],
"practiceLocations": [
{
"address_1": "3509 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191404105",
"country_code": "US",
"telephone_number": "215-707-5437",
"fax_number": "215-707-5180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAUL",
"first_name": "STEPHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD057257L",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "23065",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "PA",
"license": "MD057257L",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "WV",
"license": "23065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015493170004",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "spaul897@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Medical Center Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265061200",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "spaul897@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Medical Center Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265061200",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "spaul897@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Medical Center Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265061200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.