PAUL WINDHAM M.D. NPI 1154383875

NPI Information

NPI: 1154383875
Provider Name: PAUL WINDHAM, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
1915 HARRISON AVE STE A
EUREKA, CA
ZIP 95501
Phone: (707) 497-6342
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Paul Windham, M.D. is a general practice in Eureka, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Paul Windham, M.D. NPI is 1154383875. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1915 HARRISON AVE STE A
EUREKA, CA
ZIP 95501-230
Phone: (707) 497-6342
Fax: (707) 497-6234

The enumeration date for this NPI number is 4/6/2006 and was last updated on 7/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		G57950	CALIFORNIA	No
2	208D00000X	General Practice		G057950	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	F08837	MEDICARE UPIN	CALIFORNIA
2	00G579500	MEDICAID	CALIFORNIA
3	00G579504	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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