Isham Walker Pauli Jr., MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K3386 Issued in TX

Practice address

18707 Hardy Oak Blvd
Ste 225
San Antonio, TX 78258-4869

Phone

(210) 657-0220

Fax

(210) 402-2868

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: iwp@npa.pcc-direct.com

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.

• Synergy Healthcare Associates, PLLC

  • Gynecology Physician
  • San Antonio, TX
  • NPI 1356584544

  Pediatrics

  Medicare reassignment NPD
• Northeast Pediatric Associates PA

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1902994080
  NPD (past) Authorized official

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1477639664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8606 VILLAGE DRIVE",
            "address_2": "SUITE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78217",
            "telephone_number": "210-657-0220",
            "fax_number": "210-590-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18707 HARDY OAK BLVD",
            "address_2": "STE 225",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584869",
            "telephone_number": "210-657-0220",
            "fax_number": "210-402-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULI",
        "first_name": "ISHAM",
        "middle_name": "WALKER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K3386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046787001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara L. Paul, OT
• Tony Paul, CRNA
• Matthew D. Pauley, M.D.
• Melissa Pauley, M.A. CCC/SLP
• Sara Pauley, IOM
• Nathalie Smith Paulino, NP-C
• Shekina Paulino
• Allison Emily Paulk, PA
• Robert Paull, M.D.
• Visminda L. Paulma

• Pediatrics Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.