DR. THEODORA E PAUL (NPI# 1588868103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588868103 |
| Entity Type | Individual |
| Full Name | DR. THEODORA E PAUL |
| Credential | D.O. |
| Practice Address |
13954 W Waddell Rd Suite 307 Surprise AZ 85379-8750 |
| Practice Telephone | 6235840760 |
| Practice Fax Number | 6235460344 |
| Mailing Telephone | 6235840760 |
| Mailing Fax Number | 6235460344 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2017-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4324 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 396843 | 05 |
| Street Address |
13954 W WADDELL RD SUITE 307 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85379-8750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114342169 | Heavenly Soles Pllc | Clinic/Center | 13954 W Waddell Rd, Suite 307, Surprise, AZ 85379-8750 | 2014-02-27 |
| 1174703409 | Marie C. Paul | Podiatrist | 13954 W Waddell Rd, Suite 307, Surprise, AZ 85379-8750 | 2007-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818887 | Arizona Heartlands Home Care, LLC | Adult Companion | 14626 W. Wethersfield Rd, Surprise, AZ 85379 | 2020-07-07 |
| 1740832351 | Amanda Deangelis | Specialist/Technologist | 14064 W. Poinsettia Dr., Surprise, AZ 85379 | 2019-07-13 |
| 1720550767 | Anastasia Assisted Living Home LLC | Assisted Living Facility | 12805 N 145th Ave, Surprise, AZ 85379 | 2018-12-31 |
| 1306355821 | National Vision, Inc. | Technician/Technologist | Loop 303, Surprise, AZ 85379 | 2017-09-27 |
| 1306365770 | Christopher Albert Gard | Nurse Practitioner | 15643 W Cameron Dr, Surprise, AZ 85379 | 2017-09-16 |
| 1336667096 | Leon Quoc Lai | Pharmacist | 13723 Litchfield Rd, Surprise, AZ 85379 | 2017-09-01 |
| 1134664451 | Princess Valentin | Nurse Practitioner | 15400 W Waddell Road, Surprise, AZ 85379 | 2016-12-21 |
| 1871952408 | James Care Associates LLC | In Home Supportive Care | 12720 N. 149th Lane, Surprise, AZ 85379 | 2016-02-10 |
| 1669861688 | Todd Cleland | Physical Therapist | 15384 W. Dahlia Drive, Surprise, AZ 85379 | 2015-01-14 |
| 1326442187 | Sarpotdar Orthodontics, Pllc | Dentist | 13775 N. Litchfield Rd, Suite 108, Surprise, AZ 85379 | 2014-10-22 |
| Find all providers in zip 85379 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558388 | Melissa Anne Harms | Family Medicine | 17968 W Ivy Ln, Surprise, AZ 85388-1652 | 2019-09-26 |
| 1316507049 | Jami Jean Wingert | Family Medicine | 15709 N 172nd Ln, Surprise, AZ 85388-0232 | 2019-06-14 |
| 1417456302 | Sheng Yun Peng | Family Medicine | 14780 W Mountain View Blvd. Suite # 110, Surprise, AZ 85374 | 2018-02-06 |
| 1689196891 | Edward Hoang Nam Vo | Family Medicine | 13995 W Statler Blvd Ste 200, Surprise, AZ 85374-5503 | 2017-07-10 |
| 1235516675 | Benjamin J Hegenbarth | Family Medicine | 14981 Nth 174 Dr., Surprise, AZ 85388 | 2015-05-06 |
| 1003293465 | Adelante Healthcare Inc | Family Medicine | 15317 W Bell Rd Ste 100, Surprise, AZ 85374-3900 | 2015-05-05 |
| 1295911030 | Patrick James Roscetti | Family Medicine | 13991 W. Grand Ave, Suite 105, Surprise, AZ 85374 | 2008-01-10 |
| 1790973006 | Neena K Uppal Md PC | Family Medicine | 14674 W Mountain View Blvd Ste 200, Surprise, AZ 85374 | 2007-10-11 |
| 1386761187 | Thomas E Inman Do Professional | Family Medicine | 16928 W Bell Rd, Suite 701, Surprise, AZ 85374-8948 | 2007-03-25 |
| 1336233899 | Nevedita S Saraswat | Family Medicine | 18715 N Reems Rd, Suite 140, Surprise, AZ 85374-8643 | 2006-10-02 |
| Find all providers in SURPRISE | ||||
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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.