Organization Active NPI

Paul E Gaulin MD

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1831372762
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
10431 Issued in NV
Legal business name
PAUL E GAULIN MD
Practice address
3121 S Maryland Pkwy
Ste 220
Las Vegas, NV 89109-2307
Phone
(702) 733-2088
Fax
(702) 733-1312
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Ms. Amber Fawn Pomerleau
Title
Billing Manager
Phone
(702) 733-2088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 10431 NV Primary

Addresses

Primary practice location

3121 S Maryland Pkwy
Ste 220
Las Vegas, NV 89109-2307

Mailing address

3121 S Maryland Pkwy
Ste 220
Las Vegas, NV 89109-2307
Phone (702) 733-2088

Other identifiers 1

IdentifierTypeStateIssuer
100500911MedicaidNV

National Provider Directory

National Provider Directory

Locations

130 E Haskell St
Winnemucca, NV 89445
Phone 7756235222 ext. 1294

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": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1831372762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 S MARYLAND PKWY",
            "address_2": "STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092307",
            "telephone_number": "702-733-2088",
            "fax_number": "702-733-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 S MARYLAND PKWY",
            "address_2": "STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092307",
            "telephone_number": "702-733-2088",
            "fax_number": "702-733-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL E GAULIN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "POMERLEAU",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "FAWN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "702-733-2088",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NV",
            "license": "10431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500911",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.