Active NPI
Andrew Michael Paul, DO
- Aerospace Medicine Physician
- Havelock, NC
National Provider Identifier
1255507208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- 0102202446
- Practice address
- 4389 Beaufort Rd
McAs Cherry Point
Havelock, NC 28533 - Phone
- (850) 206-1416
- NPI assigned
- Apr 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | 0102202446 | VA | Primary |
Addresses
Primary practice location
4389 Beaufort Rd
McAs Cherry Point
Havelock, NC 28533
Mailing address
620 John Paul Jones Cir
Gme Office
Portsmouth, VA 23708-2111
Phone (757) 953-7001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102202446 | VA | MD | Aerospace Medicine Physician |
Interoperability endpoints
- apaul824105@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1255507208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"address_2": "GME OFFICE",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082111",
"telephone_number": "757-953-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4389 BEAUFORT RD",
"address_2": "MCAS CHERRY POINT",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "28533",
"telephone_number": "850-206-1416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "ANDREW",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-30",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "VA",
"license": "0102202446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Havelock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.