Individual provider Active NPI

Steven D Paul, M.D.

  • Internal Medicine Physician
  • Eureka, CA
National Provider Identifier
1467417725
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6087 Issued in NH
Practice address
2710 Dolbeer St
Eureka, CA 95501-4736
Phone
(707) 267-2060
Fax
(707) 267-2061
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6087 NH Primary
Hematology & Oncology Physician 207RH0003X 6087 NH
Hematology & Oncology Physician 207RH0003X G87621 CA

Addresses

Primary practice location

2710 Dolbeer St
Eureka, CA 95501-4736

Mailing address

65 Lafayette Rd
North Hampton, NH 03862-2480
Phone (603) 964-3392

Other practice location 1

2710 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 267-2060

Other identifiers 1

IdentifierTypeStateIssuer
30011268MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161215002124 OR Practitioner - Internal Medicine 4082630660 Reassigns benefits to 1 organization
I20180611000228 TN Practitioner - Hematology/Oncology 4082630660 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G87621CAMDHematology & Oncology Physician
6087NHMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Regional Medical Center CurrentSince Dec 11, 2017 Accepting new patients
Cookeville Regional Medical Center Hematology & Oncology CurrentSince Dec 11, 2017 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Dec 1, 2016 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Dec 1, 2016 Accepting new patients
Exeter Hampton Diagnostics, Inc PastSince Jul 16, 2016 Accepting new patients
Exeter Hampton Diagnostic, Inc PastSince Jul 16, 2016 Accepting new patients

Locations

2610 Uhrmann Rd
Klamath Falls, OR 97601
Phone (541) 274-4171

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1467417725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 LAFAYETTE RD",
            "city": "NORTH HAMPTON",
            "state": "NH",
            "postal_code": "038622480",
            "telephone_number": "603-964-3392",
            "fax_number": "603-964-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 DOLBEER ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014736",
            "telephone_number": "707-267-2060",
            "fax_number": "707-267-2061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Dolbeer St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955014736",
            "country_code": "US",
            "telephone_number": "707-267-2060",
            "fax_number": "707-267-2061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "STEVEN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "6087",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NH",
            "license": "6087",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G87621",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30011268",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.