Rick L Paulson, MD
Individual provider Active NPI Plastic Surgery Physician · Bismark, ND
NPI 1790705168 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790705168
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- 7486 (ND)
- Practice address
- 115 W Century Ave
Suite B
Bismark, ND 58803 - Phone
- (701) 255-2252
- Fax
- (701) 255-2255
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2015 through Jul 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7486 | ND | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 7486 | ND | Yes |
Addresses
Primary practice location
115 W Century Ave
Suite B
Bismark, ND 58803
Mailing address
115 W Century Ave
Suite B
Bismark, ND 58803
Phone (701) 255-2252
Other providers in Bismark, ND
- Shinteiria Mykeisha Majisi
- Zachary Thomas Miller
- Lauren K Milovitch-Sera
- Mobile Rehab PLLC
- Roberta Mueller
- Prairie Rose Family Dentists
- Gretchen Lee Schuchard
- Megan Bess Strand
All providers in Bismark, ND · Plastic Surgery Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.