Individual provider Active NPI

Marlo E Paul, MD

  • Internal Medicine Physician
  • Sawyerville, AL
National Provider Identifier
1790979946
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.28217 Issued in AL
Practice address
6228 County Road 28
Sawyerville, AL 36776-5577
Phone
(334) 624-2553
Fax
(855) 301-8116
NPI assigned
Aug 30, 2007
Last updated
Feb 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.28217 AL Primary

Addresses

Primary practice location

6228 County Road 28
Sawyerville, AL 36776-5577

Mailing address

P.O. Box 9
Gainesville, AL 35464
Phone (865) 368-9390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080320000191 AL Practitioner - Internal Medicine 7012093784 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Hospital of York Current Accepting new patients
Hill Hospital of Sumter County CurrentSince Oct 27, 2013 Accepting new patients
Hill Hospital of York Past Accepting new patients

Locations

751 Derby Dr
York, AL 36925
Phone (205) 392-5263

Organizations & group practices 4

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": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1790979946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9",
            "city": "GAINESVILLE",
            "state": "AL",
            "postal_code": "35464",
            "telephone_number": "865-368-9390",
            "fax_number": "855-301-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6228 COUNTY ROAD 28",
            "city": "SAWYERVILLE",
            "state": "AL",
            "postal_code": "367765577",
            "telephone_number": "334-624-2553",
            "fax_number": "855-301-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "MARLO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.28217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sawyerville, AL

Sources for this page

Verify at the official NPI Registry.