STEPHEN PAULUS (NPI# 1093942252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093942252 |
| Entity Type | Individual |
| Full Name | STEPHEN PAULUS |
| Credential | M.D. |
| Practice Address |
800 Fair Park Blvd Little Rock AR 72204 |
| Mailing Address |
800 Fair Park Blvd Little Rock AR 72204-1720 |
| Practice Telephone | 5016046900 |
| Practice Fax Number | 5016046941 |
| Mailing Telephone | 5019782623 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2019-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | A126037 | CA | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
E-8744 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 204363001 | 05 | |
| AR | NPI | 1093942252 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831240092 | Stephen F. Paulus | Neuromusculoskeletal Medicine & OMM | 145 Pine Haven Shores Road, Suite 2061, Burlington, VT 05401-1523 | 2007-01-15 |
| Street Address |
800 FAIR PARK BLVD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083606933 | Jay M Lipke | Orthopaedic Surgery | 800 Fair Park Blvd, Little Rock, AR 72204 | 2005-08-17 |
| 1679173645 | Tristan Jenkins | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2020-10-29 |
| 1386242899 | Payton Rae Ransom | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2020-10-16 |
| 1942825476 | Bryce Bossin | Physical Therapist | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2020-06-10 |
| 1922658566 | Victoria Caples | Physical Therapist | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-09-16 |
| 1457818353 | Kala Carol Hart | Nurse Practitioner | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-27 |
| 1023575420 | Faith Marquardt | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-22 |
| 1346706892 | Christopher Allen Brynell | Physical Therapist | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-20 |
| 1043776099 | Lauren Abigail Rainwater | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2019-02-14 |
| 1073080255 | John Joseph Head | Physician Assistant | 800 Fair Park Blvd, Little Rock, AR 72204-1720 | 2018-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862703 | Mike C. Umerah, M.d. Inc. | Physical Medicine & Rehabilitation | 500 S University Ave Ste 705, Little Rock, AR 72205-5372 | 2020-05-08 |
| 1609846435 | Amir M Qureshi | Physical Medicine & Rehabilitation | 5700 W Markham St, Little Rock, AR 72205-3380 | 2006-01-24 |
| 1356654164 | Little Rock Pain & Rehabilitation Consultants, Pllc | Physical Medicine & Rehabilitation | 9 Freeway Dr, Ste. B, Little Rock, AR 72204-2486 | 2010-07-21 |
| 1265587869 | Saint Adeogba | Physical Medicine & Rehabilitation | 10301 Kanis Rd, Little Rock, AR 72205-6205 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194193045 | Precision Spine, Pllc | Physical Medicine & Rehabilitation | 3010 Falcon Crest Dr, Alexander, AR 72002-1767 | 2015-09-09 |
| 1053601575 | Noadia Worku | Physical Medicine & Rehabilitation | 201 N Slemons St, Monticello, AR 71655-4326 | 2011-04-18 |
| 1316250251 | Little Rock Physical Medicine & Rehabilitation | Physical Medicine & Rehabilitation | 3127 W 2nd Ct, Russellville, AR 72801-4504 | 2010-07-21 |
| 1053374496 | Joseph E Miller | Physical Medicine & Rehabilitation | 9001 Jenny Lind Rd Ste 3, Fort Smith, AR 72908-8629 | 2006-04-07 |
| 1932681574 | Dana Jones | Physical Medicine & Rehabilitation | 1500 Museum Rd Ste 104, Conway, AR 72032-4761 | 2018-08-30 |
| 1497100838 | Aimee Elizabeth Widner, M.d., Pllc | Physical Medicine & Rehabilitation | 746 Wilburn Rd, Heber Springs, AR 72543-8902 | 2016-05-03 |
| 1730432741 | Rebecca Nichole Foster | Physical Medicine & Rehabilitation | 308 Smokey Lane, N Little Rock, AR 72117 | 2012-10-16 |
| 1316244460 | Little Rock Physical Medicine & Rehabilitation | Physical Medicine & Rehabilitation | 410 W Pershing Blvd, North Little Rock, AR 72114-2146 | 2011-02-24 |
| 1356597330 | Ryan Thomas Krafft | Physical Medicine & Rehabilitation | 17 Medical Plz, Mountain Home, AR 72653-2918 | 2008-08-11 |
| 1922161173 | Solomon Michael Pearce | Physical Medicine & Rehabilitation | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2006-12-19 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
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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.