Active NPI
Paul Mansfield Doty, M. D.
- Orthopaedic Surgery Physician
- Covington, LA
National Provider Identifier
1417929225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 03425R
- Practice address
- 1115 S Tyler St
Covington, LA 70433-2327 - Phone
- (985) 892-2200
- Fax
- (985) 892-1440
- NPI assigned
- Feb 6, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 03425R | LA | Primary |
Addresses
Primary practice location
1115 S Tyler St
Covington, LA 70433-2327
Mailing address
1115 S Tyler St
Covington, LA 70433-2327
Phone (985) 892-2200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1171468 | Medicaid | LA | |
| 720922555 | Other | LA | FEDERAL TAX I |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03425R | LA | MD | Orthopaedic Surgery Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Covington, LA
- NPI 1780959544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1417929225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 S TYLER ST",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704332327",
"telephone_number": "985-892-2200",
"fax_number": "985-892-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 S TYLER ST",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704332327",
"telephone_number": "985-892-2200",
"fax_number": "985-892-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTY",
"first_name": "PAUL",
"middle_name": "MANSFIELD",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "LA",
"license": "03425R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1171468",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX I",
"identifier": "720922555",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.