Organization Active NPI

Randal H Paul PSC

  • Ophthalmology Physician
  • Bowling Green, KY
National Provider Identifier
1740460039
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
29638 Issued in KY
Legal business name
RANDAL H PAUL PSC
Practice address
1332 Andrea St
Bowling Green, KY 42104-3334
Phone
(270) 842-6300
Fax
(270) 842-6303
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Ms. Kim Dishon
Title
Assistant
Phone
(270) 842-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 29638 KY Primary

Addresses

Primary practice location

1332 Andrea St
Bowling Green, KY 42104-3334

Mailing address

1332 Andrea St
Bowling Green, KY 42104-3334
Phone (270) 842-6300

National Provider Directory

National Provider Directory

Locations

603 E 4th St
Russellville, KY 42276
Phone (270) 726-2434

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1740460039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 ANDREA ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043334",
            "telephone_number": "270-842-6300",
            "fax_number": "270-842-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 ANDREA ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043334",
            "telephone_number": "270-842-6300",
            "fax_number": "270-842-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDAL H PAUL PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "DISHON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "270-842-6300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "29638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.