1649260993 NPI number — PAUL S SCHULZ M.D.

Table of content: PAUL S SCHULZ M.D. (NPI 1649260993)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649260993 NPI number — PAUL S SCHULZ M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHULZ
Provider First Name:
PAUL
Provider Middle Name:
S
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649260993
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/21/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 950202
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40295-0202
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-272-5100
Provider Business Mailing Address Fax Number:
502-272-5116

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4950 NORTON HEALTHCARE BLVD STE 303
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40241-2848
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-394-6470
Provider Business Practice Location Address Fax Number:
502-394-6477
Provider Enumeration Date:
10/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RI0200X , with the licence number:  01052997A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RI0200X , with the licence number: 35859 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000644737 . This is a "ANTHEM- NORTON INPATIENT SPECIALISTS" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 50027037 . This is a "PASSPORT- NORTON COMMUNITY MEDICAL ASSOCIATES" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 50029102 . This is a "PASSPORT- NCMA- EGS" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000644740 . This is a "ANTHEM- NORTON COMMUNITY MEDICAL ASSOCIATES" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 3759055000 . This is a "PASSPORT ADVANTAGE- NORTON COMMUNITY MEDICAL ASSOCIATES" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 64055775 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3759057000 . This is a "PASSPORT ADVANTAGE- NORTON INPATIENT SPECIALISTS" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 000052152V . This is a "HUMANA- NORTON INPATIENT SPECIALISTS" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 50027039 . This is a "PASSPORT- NORTON INPATIENT SPECIALISTS" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: P00386688 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 200442190 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




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