Steven James Paulissen, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD17094 Issued in OR

Practice address

1234 Commercial St SE
Salem, OR 97302-4204

Phone

(503) 362-9334

Fax

(503) 362-8016

NPI assigned

Jul 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: steven.paulissen.1@17725.direct.athenahealth.com

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1902827827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024204",
            "telephone_number": "503-362-9334",
            "fax_number": "503-362-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024204",
            "telephone_number": "503-362-9334",
            "fax_number": "503-362-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULISSEN",
        "first_name": "STEVEN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD17094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMAP/OMAP",
            "identifier": "021571",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021571",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taranna Kay Patton
• Dakota Jo Patzke, THW, CRM
• Wendy Lee Patzke, BS, QMHA, CADC I
• Joy Paul, LPC, NCC
• Tammi Paul
• Lynette Paulson
• Michelle P Pavelek, MOTR/L
• Jennifer Payette
• Kayla Payne
• Rebecca Mary Payne, L.M.T.

• Internal Medicine Physician in Salem, OR
• Providers in Salem, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.