NPIMap

Individual provider Active NPI

Daniel Paulson, M.D.

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1972943553
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.133867 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195
Phone
(261) 444-2136
NPI assigned
Jun 27, 2013
Last updated
Jul 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35.133867 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195

Mailing address

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (261) 444-2136

Other practice location 1

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180710001089 OH Practitioner - Diagnostic Radiology 2365798162 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Sanford School of Medicine of University of South Dakota, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Russell Berkebile and Associates IncGroup PAC ID 7315930229, 6 clinicians
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

272 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 668-8101

2800 Hayes Ave
BLDG C 130
Sandusky, OH 44870-7248
Phone (419) 502-5941

3700 Kolbe Rd
Lorain, OH 44053-1611
Phone (888) 271-3826

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC CurrentSince Jul 8, 2019 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 3, 2024 Accepting new patients
Firelands Radiology, Inc Diagnostic Radiology CurrentSince Sep 1, 2019 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Sep 12, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 3, 2024 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Sep 12, 2022 Accepting new patients
DRS Russell Berkebile and Associates Inc Diagnostic Radiology CurrentSince Apr 1, 2019 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Jul 8, 2019 Accepting new patients
North Ohio Heart Inc Past Accepting new patients

Locations

1997 Healthway Dr
Avon, OH 44011
Phone (440) 329-7720

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

1900 W River Rd N
Elyria, OH 44035
Phone (440) 233-8004

221 W 8th St
Lorain, OH 44052
Phone (440) 245-4480

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 423-5197

200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211

2500 W Strub Rd
Ste 220C
Sandusky, OH 44870
Phone (419) 502-5944

2800 Hayes Ave
Bldg C130
Sandusky, OH 44870
Phone (419) 502-5941

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

1932 Niles Cortland Rd NE
Ste X
Warren, OH 44484
Phone (330) 306-5371

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

4760 Richmond Rd
Ste 300
Warrensville Heights, OH 44128

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1972943553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "261-444-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44195",
            "telephone_number": "261-444-2136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.133867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.