Active NPI
James F Paul, D.D.S., M.S., M.D.
- Plastic Surgery Physician
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 33897
- 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, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0244574 | Medicaid | IA | |
| 036104275 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive 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
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 79 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33897 | IA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Plastic Surgery Center, P.C. | Specialist | Current | Accepting new patients |
Locations
3385 Dexter Ct
Ste 115
Davenport, IA 52807
Phone (563) 359-4777
Interoperability endpoints
- 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.
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Medical Center Davenport
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.