Paul R. Moulton, M.D.

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

012516 Issued in ME

Legal business name

PAUL R. MOULTON, M.D.

Practice address

5 Grove St.
Bangor, ME 04401-5394

Phone

(207) 945-3619

Fax

(207) 941-0817

NPI assigned

Oct 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Paul R Moulton, M.D.NPI 1255330205

Title

Owner

Phone

(207) 945-3619

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Paul Rush Moulton, M.D.

  • Ophthalmology Physician
  • Bangor, ME
  • NPI 1255330205
  NPD Authorized official

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1982955829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GROVE ST.",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015394",
            "telephone_number": "207-945-3619",
            "fax_number": "207-941-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GROVE ST.",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015394",
            "telephone_number": "207-945-3619",
            "fax_number": "207-941-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL R. MOULTON, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-945-3619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "ME",
            "license": "012516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255330205",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul N Smith MD, PA
• Paul N. Smith, M.D., P.a.
• Paul N. Smith, MD
• Paul Pusey Psychological Services
• Paul R. Moulton, M.D.
• Jacob Don Paul, DNP, APRN, ACNPC-AG
• Pradeep S Paul, M.D.
• Praveen Kumar Pavuluru, D.M.D
• Mikaylah Payeur
• Don C Payne, MD

• Ophthalmologic Surgery Clinic/Center in Bangor, ME
• Providers in Bangor, ME by specialty
• Ophthalmologic Surgery Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.