Individual provider Active NPI

James F Paul, D.D.S., M.S., M.D.

  • Plastic Surgery Physician
  • Davenport, IA
National Provider Identifier
1467431213
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
33897 Issued in IA
Practice address
3385 Dexter CT
Suite 115
Davenport, IA 52807-3461
Phone
(563) 359-4777
Fax
(563) 359-4781
NPI assigned
Jan 11, 2006
Last updated
Feb 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 33897 IA
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 33897 IA
Plastic Surgery Physician 208200000X 33897 IA Primary

Addresses

Primary practice location

3385 Dexter CT
Suite 115
Davenport, IA 52807-3461

Mailing address

3385 Dexter CT
Suite 115
Davenport, IA 52807-3461
Phone (563) 359-4777

Other identifiers 2

IdentifierTypeStateIssuer
0244574MedicaidIA
036104275MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080218000198 IA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Maxillofacial Surgery 8820171606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Maxillofacial Surgery
Education
Louisiana State University School of Medicine in Shreveport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3385 Dexter CT
Suite 115
Davenport, IA 52807-3471
Phone (563) 359-4777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision79
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33897IAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Plastic Surgery Center, P.C. Specialist CurrentSince Aug 1, 2001 Accepting new patients

Locations

3385 Dexter Ct
Ste 115
Davenport, IA 52807
Phone (563) 359-4777

Interoperability endpoints

  • Direct secure messaging: jpaul92424@direct.unitypoint.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1467431213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 DEXTER CT",
            "address_2": "SUITE 115",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073461",
            "telephone_number": "563-359-4777",
            "fax_number": "563-359-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 DEXTER CT",
            "address_2": "SUITE 115",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073461",
            "telephone_number": "563-359-4777",
            "fax_number": "563-359-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "JAMES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "33897",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "IA",
            "license": "33897",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IA",
            "license": "33897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0244574",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104275",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.