DR. RICKY ALLEN PAUL (NPI# 1073699500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073699500 |
| Entity Type | Individual |
| Full Name | DR. RICKY ALLEN PAUL |
| Credential | MD |
| Practice Address |
323 E Hawkins Pkwy Fl 2 Longview TX 75605-8153 |
| Mailing Address |
Po Box 1325 Marshall TX 75671-1325 |
| Practice Telephone | 9033155733 |
| Practice Fax Number | 9033153002 |
| Mailing Telephone | 9039385330 |
| Mailing Fax Number | 9039276896 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | L6568 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS/BLUE SHIELD | 8F5691 | 01 |
| TX | 158685101 | 05 | |
| RAILROAD MEDICARE | P00019679 | 01 |
| Street Address |
323 E HAWKINS PKWY FL 2 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-8153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619501608 | Kelly Denise Royce | Advanced Practice Midwife | 323 E Hawkins Pkwy Fl 2, Longview, TX 75605-8153 | 2020-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1578744967 | Nathan S. Drever | Obstetrics & Gynecology | 707 Hollybrook Dr Ste 503, Longview, TX 75605-2410 | 2007-11-14 |
| 1265409668 | Julia B Van Burkleo | Obstetrics & Gynecology | 1111 N 6th St, Longview, TX 75601-5537 | 2006-03-03 |
| 1245207638 | Francis J Tibiletti | Obstetrics & Gynecology | 701 E Marshall Ave Ste 309, Longview, TX 75601-5597 | 2006-03-03 |
| 1023085925 | Sabrina M Benefield | Obstetrics & Gynecology | 802 Medical Dr Ste 200, Longview, TX 75605-5201 | 2006-03-01 |
| 1801891635 | David Doerrfeld | Obstetrics & Gynecology | 802 Medical Dr, Suite 202, Longview, TX 75605-5153 | 2005-06-17 |
| 1336788355 | Longview Wellness Center, Inc. | Obstetrics & Gynecology | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2019-12-23 |
| 1396274296 | Zeid Medical Group, Pllc | Obstetrics & Gynecology | 703 E Marshall Ave Ste 4002, Longview, TX 75601-5622 | 2017-06-06 |
| 1518327311 | John Kirk Md Pa | Obstetrics & Gynecology | 700 E Marshall Ave, Longview, TX 75601-5580 | 2016-03-07 |
| 1821338591 | Heather Elizabeth Ross Blackford | Obstetrics & Gynecology | 1660 Delaware St, Longview, WA 98632-2310 | 2013-02-18 |
| Find all providers in LONGVIEW | ||||
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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.