Active NPI
Tanya Renee Paul, MD
- Obstetrics & Gynecology Physician
- Auburn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 218915
- Practice address
- 17 Lansing Street, 1St Floor
Auburn, NY 13021-1852 - Phone
- (315) 252-5082
- Fax
- (315) 252-1587
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 218915 | NY | Primary |
Addresses
Primary practice location
17 Lansing Street, 1St Floor
Auburn, NY 13021-1852
Mailing address
17 Lansing St FL 1
Auburn, NY 13021-1983
Phone (315) 252-5082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02097161 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Obstetrics/Gynecology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17 Lansing St
Suite 201
Auburn, NY 13021-1983
Phone (315) 252-8838
4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 492-5678
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218915 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Community Hospital | Current | Accepting new patients | |
| Upstate Community Medical, PC | Current | Accepting new patients | |
| Auburn Community Hospital | Current | Accepting new patients | |
| St Josephs Hospital Health Center | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Suny Health Science Center at Syracuse | Past | Accepting new patients |
Locations
77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550
17 Lansing St
Ofc
Auburn, NY 13021
17 Lansing St
#1
Auburn, NY 13021
Phone (315) 252-5028
143 North St
Ste 4
Auburn, NY 13021
Phone (315) 252-5028
17 Lansing St
Ste 201
Auburn, NY 13021
Phone (315) 252-7434
17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011
4900 Broad Rd
Rm 1352
Syracuse, NY 13215
4900 Broad Rd
Ste 2G
Syracuse, NY 13215
Phone (315) 299-5313
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678
Interoperability endpoints
- tpaul171890@direct.upstate.edu
- drtpaul@amms.medentdirect.com
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Auburn, NY
- NPI 1194913749
Obstetrics & Gynecology
-
- Hospitalist Physician
- Syracuse, NY
- NPI 1689620163
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
dba Auburn Community Hospital - Outpatient Clinics
- Internal Medicine Physician
- Auburn, NY
- NPI 1336855683
-
dba Auburn Orthopaedic Services
- Foot & Ankle Surgery Podiatrist
- Auburn, NY
- NPI 1467151852
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1548210966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 LANSING ST FL 1",
"city": "AUBURN",
"state": "NY",
"postal_code": "130211983",
"telephone_number": "315-252-5082",
"fax_number": "315-252-1587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 LANSING STREET, 1ST FLOOR",
"city": "AUBURN",
"state": "NY",
"postal_code": "130211852",
"telephone_number": "315-252-5082",
"fax_number": "315-252-1587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "TANYA",
"middle_name": "RENEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "218915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02097161",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.