Michael Jonathan Paston, MD

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

L0491 Issued in TX

Practice address

9700 G Avenue SE
Afia/Sgo
Kirtland Afb, NM 97117-5670

Phone

(505) 864-2491

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1962596494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9127 AUTUMN ROSE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132029",
            "telephone_number": "609-923-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 G AVENUE SE",
            "address_2": "AFIA/SGO",
            "city": "KIRTLAND AFB",
            "state": "NM",
            "postal_code": "971175670",
            "telephone_number": "505-864-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTON",
        "first_name": "MICHAEL",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "TX",
            "license": "L0491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ortman, D.M.D
• Mary Ann Terese Orzech, M.D.
• Lesley Dale Pacheco, MSW
• Derick B Palmer, ED.D, LPC, LMHC, NCC
• James Palmer, LICSW
• John Keith Paul III, DDS
• Daniel Pena, ATC, LPTA
• Monica Pierce-Wysong, MD
• Thomas Powell, MD
• Stephanie M Powers, NP-C

• All providers in Kirtland Afb, NM
• Preventive Medicine/Occupational Environmental Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.