Active NPI
Dr Pauls Family & Urgent Care
- Clinic/Center
- State College, PA
National Provider Identifier
1962748285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- MD440359
- Legal business name
- DR PAULS FAMILY & URGENT CARE
- Practice address
- 2214 North Atherton
Ste 100
State College, PA 16803-2222 - Phone
- (417) 353-9069
- Fax
- (417) 429-2893
- NPI assigned
- Dec 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Kattupalli, MD
- Title
- Owner/Physician
- Phone
- (417) 353-9069
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | MD440359 | PA | Primary |
Addresses
Primary practice location
2214 North Atherton
Ste 100
State College, PA 16803-2222
Mailing address
2214 North Atherton
Ste 100
State College, PA 16803-2222
Phone (417) 353-9069
National Provider Directory
National Provider DirectoryLocations
2214 N Atherton St
Ste 100
State College, PA 16803
Phone (417) 353-9069
Interoperability endpoints
- https://api.platform.athenahealth.com/7202/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Tyrone, PA
- NPI 1851405898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364860800000",
"number": "1962748285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2214 NORTH ATHERTON",
"address_2": "STE 100",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168032222",
"telephone_number": "417-353-9069",
"fax_number": "417-429-2893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2214 NORTH ATHERTON",
"address_2": "STE 100",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168032222",
"telephone_number": "417-353-9069",
"fax_number": "417-429-2893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR PAULS FAMILY & URGENT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-13",
"last_updated": "2013-04-02",
"status": "A",
"authorized_official_last_name": "KATTUPALLI",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "417-353-9069",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "PA",
"license": "MD440359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.