PAUL WINDHAM


Address: 1915 Harrison Ave Ste A, Eureka, CA 95501-3230
Phone: 7074976342

PAUL WINDHAM (NPI# 1154383875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154383875
Entity Type Individual
Full Name PAUL WINDHAM
Credential M.D.
Practice Address 1915 Harrison Ave Ste A
Eureka
CA 95501-3230
Mailing Address 3144 Broadway Ste 4-314
Eureka
CA 95501-3838
Practice Telephone 7074976342
Practice Fax Number 7074976234
Mailing Telephone 7074976342
Mailing Fax Number 7074976234
Enumeration Date 2006-04-06
Last Update Date 2012-07-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine G57950 CA Allopathic & Osteopathic Physicians
Y 208D00000X General Practice G057950 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G579500 05

Office Location

Street Address 1915 HARRISON AVE STE A
City EUREKA
State CA
Zip Code 95501-3230

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578623203 Frances Bailey Day General Practice 1425 4th St, Eureka, CA 95501-0606 2006-12-11
1083624241 Antonio Mora Alandy General Practice 200 J Ave Ste A, Eureka, SD 57437-2225 2006-08-09
1124566906 Kalispell Regional Medical Center Inc General Practice 298 Osloski Rd, Eureka, MT 59917-9058 2017-02-01

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Competitor

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City EUREKA
Zip Code 95501

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Dataset Information

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.

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