C. David Pauli P.C.

Key facts

NPI

1801017983

Entity type

Organization (NPI type 2)

Primary specialty

Foot & Ankle Surgery Podiatrist 213ES0103X

License

SC001721Y (PA)

Legal business name

C. DAVID PAULI P.C.

Practice address

220 E Main St
Palmyra, PA 17078-1743

Phone

(717) 838-2151

Fax

(717) 838-2148

NPI assigned

May 2, 2007

Organization subpart

No

Authorized official

Name

Dr. Carl David Pauli, D.P.M.

Title

Owner

Phone

(717) 838-2151

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801017983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E MAIN ST",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170781743",
            "telephone_number": "717-838-2151",
            "fax_number": "717-838-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E MAIN ST",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170781743",
            "telephone_number": "717-838-2151",
            "fax_number": "717-838-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. DAVID PAULI P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAULI",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-838-2151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC001721Y",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Palmyra, PA · Foot & Ankle Surgery Podiatrist in Pennsylvania