DR. JONATHAN DANIEL PAUL (NPI# 1255302287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255302287 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN DANIEL PAUL |
| Credential | M.D. |
| Practice Address |
111 Colchester Ave Burlington VT 05401 |
| Mailing Address |
100 East California Blvd Pasadena CA 91105-3205 |
| Practice Telephone | 8028473843 |
| Practice Fax Number | 8028471481 |
| Mailing Telephone | 6262695317 |
| Mailing Fax Number | 6265772100 |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2018-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 042.0012437 | VT | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 49087 | KY | Allopathic & Osteopathic Physicians |
| N | 207WX0009X |
Ophthalmology Specialization: Glaucoma Specialist |
148289 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750675930 | Jonathan Roskin Paul | Social Worker | 7 E 86th St, 15 C, New York, NY 10028-0510 | 2011-06-05 |
| 1639696362 | Jonathan Raj Paul | Student in an Organized Health Care Education/Training Program | 36475 Five Mile Road, Livonia, MI 48154 | 2017-08-24 |
| 1881013522 | Jonathan Paul | Anesthesiology | Columbia University Medical Center, 622 West 168th Street, New York, NY 10032 | 2014-04-09 |
| 1790117638 | Jonathan Odell Paul | Nurse Practitioner | 2600 Hospital Dr, Bonifay, FL 32425-4264 | 2013-08-02 |
| 1134358146 | Jonathan David Paul | Internal Medicine | 5841 S Maryland Ave, Mc 5076, Chicago, IL 60637-1447 | 2009-07-11 |
| 1285729061 | Jonathan James Paul | Orthopaedic Surgery | 10616 Metromont Pkwy, Suite 106, Charlotte, NC 28269-7656 | 2006-10-04 |
| Street Address |
111 COLCHESTER AVE |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548354 | Richard A. Boothby | Obstetrics & Gynecology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2005-06-16 |
| 1992304513 | Jennifer Smith Henry | Registered Nurse | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-10-23 |
| 1922606581 | Jessica Fischer | Dietitian, Registered | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-10-15 |
| 1922615855 | Emily R Pichler | Psychologist | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-09-24 |
| 1285257618 | Nadia Stefania Fletcher | Registered Nurse | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-05-20 |
| 1538781380 | Jeffrey Raymond Gonzalez | Pharmacist | 111 Colchester Ave, Mailstop 272ba1, Burlington, VT 05401 | 2020-05-15 |
| 1588292874 | Breshawn Best | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-31 |
| 1528696853 | Nektarios Konstantinopoulos | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-31 |
| 1457989071 | Siddique Tanzeem Akram | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-30 |
| 1184252124 | Steven Direda II | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093308 | Eye Physicians and Surgeons Sc | Ophthalmology | 675 W State Street, Burlington, WI 53105-2152 | 2020-05-05 |
| 1518069491 | Paul Francis Wagner | Ophthalmology | 308 Mchenry St, Burlington, WI 53105 | 2006-09-02 |
| 1437169661 | David J Weissgold | Ophthalmology | 181 Saint Paul St, Burlington, VT 05401-4636 | 2006-08-09 |
| 1902828254 | Michael W Brennan | Ophthalmology | 1016 Kirkpatrick Rd, Burlington, NC 27215-9714 | 2006-07-24 |
| 1609870674 | Deborah E Zuckerman | Ophthalmology | 172 Cambridge Street, Burlington, MA 01803 | 2005-06-08 |
| 1265072359 | Moses Cone Physician Services, Inc. | Ophthalmology | 1016 Kirkpatrick Rd, Burlington, NC 27215-9714 | 2020-01-07 |
| 1194361774 | Eye Key Retina Center LLC | Ophthalmology | 4423 Route 130 S, Burlington, NJ 08016-2385 | 2019-11-19 |
| 1558919597 | Eye Physicians & Surgeons Sc | Ophthalmology | 308 Mchenry St, Burlington, WI 53105-2152 | 2019-09-03 |
| 1831747138 | Eye Physicians and Surgeons Sc | Ophthalmology | 222 Adams St, Burlington, WI 53105-1466 | 2019-08-29 |
| 1215302146 | Amer M Alwreikat | Ophthalmology | 41 Mall Rd, Burlington, MA 01805-0001 | 2015-12-03 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
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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.