Paul M Popper MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME46549 Issued in FL

Legal business name

PAUL M POPPER MD PA

Practice address

21229 Olean Blvd
Unit D
Port Charlotte, FL 33952-6719

Phone

(941) 625-6223

Fax

(941) 627-2680

NPI assigned

Jun 8, 2011

Organization subpart

No

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

Authorized official

Name

Paul M Popper, MDNPI 1124045216

Title

Owner

Phone

(941) 625-6223

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul M Popper, M.D.

  • Cardiovascular Disease Physician
  • Port Charlotte, FL
  • NPI 1124045216
  Medicare reassignment Care Compare group NPD Authorized official
• Deborah Jo Dunham, ARNP

  • Nurse Practitioner
  • Port Charlotte, FL
  • NPI 1518079037
  Medicare reassignment Care Compare group
• Maria E Gonzalez, NP

  • Family Nurse Practitioner
  • Port Charlotte, FL
  • NPI 1679258842

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1972897734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21229 OLEAN BLVD",
            "address_2": "UNIT D",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526719",
            "telephone_number": "941-625-6223",
            "fax_number": "941-627-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21229 OLEAN BLVD",
            "address_2": "UNIT D",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526719",
            "telephone_number": "941-625-6223",
            "fax_number": "941-627-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL M POPPER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "POPPER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-625-6223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME46549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "ME46549",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia a Scott DDS PA
• Patricia L Gilchrist LCSW PA
• Patrick William Chernesky
• Jennifer Lynne Patterson, ARNP
• Rosemarie Angela Patton
• Sarah Paul
• Julie Rose Pauly, ARNP
• Hannah Elizabeth Payne, LMHC, NCC
• PCP - Health PLLC
• Peace of Mind Internal Medicine PLLC Jennifer a Cooke Sole MBR

• Cardiovascular Disease Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.