Active NPI
David Paul, MD
- Preventive Medicine/Occupational Environmental Medicine Physician
- Amarillo, TX
National Provider Identifier
1962413146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 15793
- Practice address
- Highway 60 and Highway 2373
Amarillo, TX 79118-8111 - Phone
- (806) 477-3032
- NPI assigned
- Aug 11, 2006
- Last updated
- Aug 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 15793 | OK | Primary |
| Medical Toxicology (Preventive Medicine) Physician | 2083T0002X | 15793 | OK |
Addresses
Primary practice location
Highway 60 and Highway 2373
Amarillo, TX 79118-8111
Mailing address
Box 30020 Maildrop 12-2a
Amarillo, TX 79118-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E5161 | Other | TX | STATE OF TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15686 | OK | MD | Retina Specialist (Ophthalmology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1962413146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 30020 MAILDROP 12-2A",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791188111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HIGHWAY 60 AND HIGHWAY 2373",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791188111",
"telephone_number": "806-477-3032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "OK",
"license": "15793",
"primary": true
},
{
"code": "2083T0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Medical Toxicology",
"state": "OK",
"license": "15793",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TEXAS",
"identifier": "E5161",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.