NPIMap

Individual provider Active NPI

Dennis L Paul II, MS PA C

  • Surgical Physician Assistant
  • Tucson, AZ
National Provider Identifier
1578532263
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2878 Issued in AZ
Practice address
6567 E Carondelet Dr Ste 305
Tucson, AZ 85710
Phone
(520) 881-8400
Fax
(520) 881-6563
NPI assigned
Mar 15, 2006
Last updated
Jun 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2878 AZ
Surgical Physician Assistant 363AS0400X 2012002427 MO
Surgical Physician Assistant 363AS0400X 2878 AZ Primary

Addresses

Primary practice location

6567 E Carondelet Dr Ste 305
Tucson, AZ 85710

Mailing address

6567 E Carondelet Dr Ste 305
Tucson, AZ 85710-6160
Phone (520) 881-8400

Other identifiers 1

IdentifierTypeStateIssuer
817926MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Orthopaedic Institute Professional Corporation Physician Assistant Past Accepting new patients
Cheyenne Regional Physicians Group, LLC PastSince Dec 12, 2021 Accepting new patients
Ajay Bhatnagar, PLLC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Premier First Assist, LLC PastSince Dec 7, 2016 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1578532263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 305",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106160",
            "telephone_number": "520-881-8400",
            "fax_number": "520-881-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 305",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85710",
            "telephone_number": "520-881-8400",
            "fax_number": "520-881-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "DENNIS",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MS PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2878",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2012002427",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "2878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "817926",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.