DR. PANAGIOTIS PAULUS (NPI# 1578533030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578533030 |
| Entity Type | Individual |
| Full Name | DR. PANAGIOTIS PAULUS |
| Other Name | PETER PAULUS |
| Credential | M.D. |
| Practice Address |
2210 Barron Rd Suite 114 Poplar Bluff MO 63901-1908 |
| Practice Telephone | 5736864800 |
| Practice Fax Number | 5736868448 |
| Mailing Telephone | 5736864800 |
| Mailing Fax Number | 5736868448 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | R6D36 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 203225719 | 05 | |
| BLUE CROSS BLUE SHIELD | 123992 | 01 | |
| MO | MEDICARE RAILROAD | 180034174 | 01 |
| Street Address |
2210 BARRON RD SUITE 114 |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750370748 | James William Gieselmann | Surgery | 2210 Barron Rd, Suite 122, Poplar Bluff, MO 63901-1908 | 2005-10-21 |
| 1952866139 | Saint Francis Medical Center | Psychologist | 2210 Barron Rd, Poplar Bluff, MO 63901-1908 | 2019-02-01 |
| 1457881963 | Poplar Bluff Pediatric Assoc Ll | Clinic/Center | 2210 Barron Rd, Poplar Bluff, MO 63901-1908 | 2017-06-16 |
| 1861944415 | Amber Rene Maples | Nurse Practitioner | 2210 Barron Rd, 120, Poplar Bluff, MO 63901-1908 | 2016-10-31 |
| 1902279110 | Gibbs Wound Care LLC | Nurse Practitioner | 2210 Barron Rd, Room 205, Poplar Bluff, MO 63901-1908 | 2015-11-10 |
| 1548699077 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 2210 Barron Rd, Poplar Bluff, MO 63901-1908 | 2013-11-05 |
| 1588900344 | Key Drugs At Northwest LLC | Pharmacy | 2210 Barron Rd, Poplar Bluff, MO 63901-1908 | 2012-12-26 |
| 1780961227 | Stephane Rena Bond | Nurse Practitioner | 2210 Barron Rd, Suite 222, Poplar Bluff, MO 63901-1908 | 2011-11-11 |
| 1154650331 | Poplar Bluff Neurology Center, PC | Clinic/Center | 2210 Barron Rd, Suite 112, Poplar Bluff, MO 63901-1908 | 2009-12-16 |
| 1275729550 | University Hematology Oncology Group Inc. | Internal Medicine | 2210 Barron Rd, Suite 117, Poplar Bluff, MO 63901-1908 | 2007-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| 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 |
|---|---|---|---|---|
| 1679607030 | Bradley J Stuckenschneider | Ophthalmology | 679 Physicians Park, Poplar Bluff, MO 63901-3915 | 2007-03-15 |
| 1134190416 | Robert Porter Smith | Ophthalmology | 2210 Barron Rd, Suite114, Poplar Bluff, MO 63901-1908 | 2006-01-27 |
| 1922078419 | Eye Surgery Consultants, LLP | Ophthalmology | 2210 Barron Rd, Suite114, Poplar Bluff, MO 63901-1908 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299578 | Heart of America Eye Care Pa | Ophthalmology | 1147 E North Ave, Belton, MO 64012-5105 | 2020-09-09 |
| 1962020644 | Matthew Theodore Hirabayashi | Ophthalmology | University Hospital One Hospital Dr Dc052.00, Columbia, MO 65212-0001 | 2020-07-09 |
| 1508484288 | Travis Parker | Ophthalmology | University Hospital One Hospital Drive Dc 052.00, Columbia, MO 65212-0001 | 2020-07-09 |
| 1003466897 | Mcelhinney Eye Care, Pa | Ophthalmology | 1004 Carondelet Dr Ste 405, Kansas City, MO 64114-4801 | 2019-09-13 |
| 1952965493 | Eric Jiaming Zhang | Ophthalmology | University Hospital One Hospital Dr Dc.052.00, Columbia, MO 65212-0001 | 2019-04-30 |
| 1790265759 | Washington University | Ophthalmology | 4901 Forest Park Ave # 8221, Saint Louis, MO 63108-1495 | 2018-08-20 |
| 1023597127 | Eye Care Pa | Ophthalmology | 1018 W Foxwood Drive, Raymore, MO 64083 | 2018-08-09 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1184038986 | Grace L Paley | Ophthalmology | 621 S New Ballas Rd Ste 5006b, Saint Louis, MO 63141-8270 | 2014-06-19 |
| 1871907378 | Daniel Joseph Watson | Ophthalmology | 900 N Highway 67 St, Florissant, MO 63031 | 2014-06-12 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
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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.