DR. PAUL RAYMOND RADWAY (NPI# 1023056173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023056173 |
Entity Type | Individual |
Full Name | DR. PAUL RAYMOND RADWAY |
Credential | M.D. |
Practice Address |
3506 San Jose Ct Pueblo CO 81005-3916 |
Practice Telephone | 7192526467 |
Mailing Telephone | 7192526467 |
Enumeration Date | 2006-06-02 |
Last Update Date | 2015-02-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 20508 | CO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 02974278 | 05 |
Street Address |
3506 SAN JOSE CT |
City | PUEBLO |
State | CO |
Zip Code | 81005-3916 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225595630 | Kimberly Warfield | Specialist | 5825 W Hwy 78, Pueblo, CA 81005 | 2019-02-22 |
1417461823 | Yah Vision | Optometrist | 2568 Taylor Ln, Pueblo, CO 81005 | 2017-11-21 |
1245758168 | Jenny C Alas | Dentist | 2603 Vinewood Lane, Pueblo, CO 81005 | 2017-08-30 |
1801342472 | Cynthia Watson | Counselor | 2429 S. Prairie Avenue, Pueblo, CO 81005 | 2016-09-01 |
1598033664 | Kyle Andrew Bonds | Pharmacist | 2900 W. Northern Ave., Pueblo, CO 81005 | 2011-12-05 |
1346406196 | Samantha Coleman | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005 | 2008-07-31 |
1184890915 | Hg Stringert Dds, Ms, PC | Dentist | 3955 Sandlewood Lane, Pueblo, CO 81005 | 2008-05-01 |
1992902423 | David Russell Baer | Dentist | 2041 Pepper Lane, Ste A, Pueblo, CO 81005 | 2007-06-28 |
1659443695 | Thomas Wesley Ready | Dentist | 643 So Pueblo Blvd, Pueblo, CO 81005 | 2006-11-14 |
1700969029 | Bradley Michael Almond | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005 | 2006-10-23 |
Find all providers in zip 81005 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205220530 | Priscilla Nobecourt | Surgery | 1600 N Grand Ave Ste 430, Pueblo, CO 81003-2760 | 2015-03-25 |
1881959005 | Srikant Sivaraman | Surgery | 1401 Court Street, Pueblo, CO 81003-2715 | 2012-07-13 |
1730220278 | Sandeep Suresh Vijan | Surgery | 1600 North Grand Ave. Suite 430, Pueblo, CO 81003-2760 | 2007-02-09 |
1851482665 | John Charles Dugal Jr. | Surgery | 1600 North Grand Ave., Suite 500, Pueblo, CO 81003-2757 | 2006-09-27 |
1164499976 | Lonnie L Imlay | Surgery | 1925 E. Orman Ave., Suite A109, Pueblo, CO 81004 | 2006-03-01 |
1164412862 | Kenneth Madsen | Surgery | 3530 E Spaulding Ave, Pueblo, CO 81008-2209 | 2005-10-24 |
1841282498 | Gary E Lane | Surgery | 1925 E Orman Ave, Suite A109, Pueblo, CO 81004-3537 | 2005-08-19 |
1457354763 | Hisman H Percival | Surgery | 1600 N Grand Ave, Suite 430, Pueblo, CO 81003-2700 | 2005-05-31 |
1285276683 | Parkview Ancillary Services | Surgery | 1600 N. Grand Ave., Ste 345, Pueblo, CO 81003-2762 | 2019-10-17 |
1679937353 | James Mccullough | Surgery | 902 Lakeview Ave, Pueblo, CO 81004-3597 | 2016-04-08 |
Find all providers in PUEBLO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.