TONY PAUL (NPI# 1669659363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669659363 |
| Entity Type | Individual |
| Full Name | TONY PAUL |
| Credential | PA |
| Practice Address |
130 Jefferson St Mansfield LA 71052-2602 |
| Mailing Address |
130 Jefferson St P O Box 740 Mansfield LA 71052-2602 |
| Practice Telephone | 3188722700 |
| Practice Fax Number | 3188726214 |
| Mailing Telephone | 3188722700 |
| Mailing Fax Number | 3188726214 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2013-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.200164 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1365149 | 05 |
| Street Address |
130 JEFFERSON ST |
| City | MANSFIELD |
| State | LA |
| Zip Code | 71052-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043359839 | Desoto Hospital Association | Clinic/Center | 130 Jefferson St, Mansfield, LA 71052-2602 | 2007-02-06 |
| 1942650429 | Angela Owens Taylor | Nurse Practitioner | 130 Jefferson St, Mansfield, LA 71052-2602 | 2016-06-15 |
| 1710243340 | Brandon Salgado | Pediatrics | 130 Jefferson St, Mansfield, LA 71052-2602 | 2012-04-09 |
| 1710250204 | Stacey Leanne Dillard | Social Worker | 130 Jefferson St, Mansfield, LA 71052-2602 | 2012-02-15 |
| 1043580624 | Desoto Hospital Association | Clinic/Center | 130 Jefferson St, Mansfield, LA 71052-2602 | 2012-01-12 |
| 1962706051 | Desoto Hospital Association | Clinic/Center | 130 Jefferson St, Mansfield, LA 71052-2602 | 2011-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689186421 | Bridgette Williams | Counselor | 419 Washington Street, Mansfield, LA 71052 | 2017-11-02 |
| 1922527217 | Cherlyndria Wyatt | Counselor | 108 Hope St, Mansfield, LA 71052 | 2017-09-18 |
| 1619342433 | Stanley Cunningham | Counselor | 125 Canary Lane, Mansfield, LA 71052 | 2015-12-04 |
| 1578936480 | Comiseia Jones | Counselor | 2102 N Park Ave, Mansfield, LA 71052 | 2015-11-02 |
| 1932571023 | Elichia Bennett | Counselor | 584 Antioch Rd, Mansfield, LA 71052 | 2015-10-28 |
| 1912378597 | Angela Mcintyre | Case Manager/Care Coordinator | 162 Division St, Mansfield, LA 71052 | 2015-10-08 |
| 1144690645 | Edwina Elrod Eley | Nurse Practitioner | 7356 Highway 509, Mansfield, LA 71052 | 2015-09-28 |
| 1760746176 | Amy Melton Robbins | Occupational Therapist | 558 Turner Robbins Rd, Mansfield, LA 71052 | 2012-06-29 |
| 1811209232 | Desoto Healthcare Center Inc. | Internal Medicine | 938 Louise St, Mansfield, LA 71052 | 2010-07-14 |
| 1174786263 | Frances Jackson | Speech-Language Pathologist | 508 Rea Street, Mansfield, LA 71052 | 2008-07-08 |
| Find all providers in zip 71052 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215447602 | Emily N Keller | Physician Assistant | 335 Glessner Ave Fl Mob2, Mansfield, OH 44903-2269 | 2017-10-11 |
| 1982712345 | Brandy Piacentino | Physician Assistant | 1947 Harrington Memorial Rd, Mansfield, OH 44903-8049 | 2006-08-27 |
| 1275546327 | Marie Moroschok | Physician Assistant | 40 W Wellsboro St, Mansfield Laurel Health Center, Mansfield, PA 16933-1411 | 2006-08-13 |
| 1619955457 | Lawrence William Gess Jr. | Physician Assistant | 2364 Highway 287 N, Suite 115, Mansfield, TX 76063-9208 | 2006-01-03 |
| 1457859381 | Broegan Sautter | Physician Assistant | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2018-01-25 |
| 1740736099 | Kyla Crispe | Physician Assistant | 2800 E Broad St, Ste #124, Mansfield, TX 76063-6414 | 2016-08-28 |
| 1962880328 | Danny Allen Hall | Physician Assistant | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2015-05-18 |
| 1083855936 | Tzietal Gail Davidson | Physician Assistant | 1601 E Debbie Ln, Suite 2109, Mansfield, TX 76063-3674 | 2009-03-23 |
| 1144366139 | Ashlee Elaine Braziel | Physician Assistant | 2700 E Broad St, Mansfield, TX 76063-5899 | 2007-01-29 |
| 1437254653 | Melissa M Irwin | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2006-09-13 |
| Find all providers in MANSFIELD | ||||
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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.