Organization Active NPI

Dr Pauls Family & Urgent Care

  • Clinic/Center
  • State College, PA
National Provider Identifier
1962748285
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD440359 Issued in PA
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

Updated by the provider on Apr 2, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

2214 N Atherton St
Ste 100
State College, PA 16803
Phone (417) 353-9069

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.