Individual provider Active NPI

David Paul, MD

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Amarillo, TX
National Provider Identifier
1962413146
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
15793 Issued in OK
Practice address
Highway 60 and Highway 2373
Amarillo, TX 79118-8111
Phone
(806) 477-3032
NPI assigned
Aug 11, 2006
Last updated
Aug 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
E5161OtherTXSTATE 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

LicenseStateTypeSpecialty
15686OKMDRetina 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.

Verify at the official NPI Registry.