DR. JOSE ELAVATH PAUL (NPI# 1023167871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023167871 |
| Entity Type | Individual |
| Full Name | DR. JOSE ELAVATH PAUL |
| Credential | MD |
| Practice Address |
380 Suwannee Trail Street Bowling Green KY 42103 |
| Mailing Address |
850 Wilkinson Trce Apt 215 Bowling Green KY 42103-2488 |
| Practice Telephone | 2709015000 |
| Practice Fax Number | 2708426553 |
| Mailing Telephone | 2707812489 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
TP910 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | DEA | FP0082494 | 01 |
| KY | STATE LICENSE | 40628 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821032590 | Jose T. Paul | Surgery | 140-15 Sanford Ave, Flushing, NY 11355 | 2006-06-15 |
| Street Address |
380 SUWANNEE TRAIL STREET |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134129471 | Edwin A. Hanna | Social Worker | 380 Suwannee Trail Street, Bowling Green, KY 42103 | 2005-07-28 |
| 1215105952 | Allison Binford | Counselor | 380 Suwannee Trail Street, Bowling Green, KY 42103 | 2008-02-15 |
| 1033399647 | Sandy Parsons | Case Manager/Care Coordinator | 380 Suwannee Trail Street, Bowling Green, KY 42103 | 2007-11-12 |
| 1952590341 | Paula Tetzloff | Case Manager/Care Coordinator | 380 Suwannee Trail Street, Bowling Green, KY 42103 | 2007-10-22 |
| 1356530109 | Richard Matthew Johnson | Case Manager/Care Coordinator | 380 Suwannee Trail Street, Bowling Green, KY 42103 | 2007-10-17 |
| 1770772691 | Esther Stanley | Case Manager/Care Coordinator | 380 Suwannee Trail Street, Bowling Green, KY 42103 | 2007-10-16 |
| 1275721391 | Constance Osborne | Case Manager/Care Coordinator | 380 Suwannee Trail Street, Bowling Green, KY 42103 | 2007-10-15 |
| 1558559666 | Tina Bilodeau | Case Manager/Care Coordinator | 380 Suwannee Trail Street, Bowling Green, KY 42103 | 2007-10-15 |
| 1801017413 | Stephanie Popovic | Counselor | 380 Suwannee Trail Street, Bowling Green, KY 42103 | 2007-05-01 |
| 1265558696 | Michelle L Porter | Counselor | 380 Suwannee Trail Street, Bowling Green, KY 42103 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710966965 | David J Kapley | Psychiatry & Neurology | 611 Old Morgantown Rd, Bowling Green, KY 42101-2713 | 2006-01-14 |
| 1912992496 | Jeffrey W Wahl | Psychiatry & Neurology | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2005-09-12 |
| 1518581495 | Merek and Mir LLC | Psychiatry & Neurology | 1990 Louisville Rd Ste 107, Bowling Green, KY 42101-1202 | 2020-06-05 |
| 1902301500 | Annie Brigham Andrews | Psychiatry & Neurology | 250 Park St, Bowling Green, KY 42101-1760 | 2018-03-26 |
| 1619471745 | Aaron Douglas Hampton | Psychiatry & Neurology | 250 Park St, Bowling Green, KY 42101-1760 | 2018-03-22 |
| 1932466885 | Huma Qadir | Psychiatry & Neurology | 1300 Andrea St Ste 205, Bowling Green, KY 42104-3382 | 2012-04-17 |
| 1861527624 | Janice L Bunch | Psychiatry & Neurology | 611 Old Morgantown Rd, Bowling Green, KY 42101 | 2007-02-22 |
| 1376693176 | Max Calvin Kinnaman Jr. | Psychiatry & Neurology | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2007-01-12 |
| 1124178009 | Stuart Larson | Psychiatry & Neurology | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2007-01-11 |
| 1386745628 | Norman Leeper | Psychiatry & Neurology | 1035 Porter Pike, Bowling Green, KY 42103-9581 | 2006-09-26 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
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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.