John B Paulus DO LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0102201315 Issued in VA

Legal business name

JOHN B PAULUS DO LLC

Practice address

2265 Kraft Drive
Blacksburg, VA 24063

Phone

(540) 639-6736

Fax

(540) 633-1524

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Paulus, D.O.NPI 1841200797

Title

President

Phone

(540) 639-6736

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John B Paulus, D.O.

  • Internal Medicine Physician
  • Cheyenne, WY
  • NPI 1841200797
  NPD (past) Authorized official

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720098676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 594",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "24063",
            "telephone_number": "540-639-6736",
            "fax_number": "540-633-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 KRAFT DRIVE",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "24063",
            "telephone_number": "540-639-6736",
            "fax_number": "540-633-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B PAULUS DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAULUS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-639-6736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0102201315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Jenkins, LCSW
• Johna Moore Jenkins, NP
• Jennifer Price, LCSW, Inc
• Wenyue Jenny Jing, MDCM, MSC
• Joe a. Paget, Jr. DDS LTD
• John T Holland, DO (Blacksburg Psychiatry)
• Paige Johnson, DO
• Phillip W Johnson, CPO
• Scott Johnson, PHD
• Chad Jamison Johnston, D.O.

• Specialist in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.