DR. ANGELA K PAUL (NPI# 1306934039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306934039 |
| Entity Type | Individual |
| Full Name | DR. ANGELA K PAUL |
| Credential | AU.D. |
| Practice Address |
4646 John R St Detroit MI 48201-1916 |
| Practice Telephone | 3135761000 |
| Practice Fax Number | 5865761092 |
| Mailing Telephone | 3135761000 |
| Mailing Fax Number | 5865761092 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 1601000040 | MI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE SHIELD | 540E00292 | 01 |
| MI | BLUE SHIELD | 0E01107 | 01 |
| MI | BLUE SHIELD | 640E07684 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871106864 | Angela Paul | Registered Nurse | 50 Pallant Ave, Linden, NJ 07036-3654 | 2020-08-28 |
| 1033581707 | Angela Dawn Paul | Physician Assistant | 8655 Saint Mathias Rd, Brainerd, MN 56401-5147 | 2015-10-21 |
| 1215993555 | Angela M Paul | Nurse Practitioner | 10000 W Blue Mound Rd, Wauwatosa, WI 53226-4321 | 2006-04-25 |
| 1912445537 | Angela Paul | Dietitian, Registered | 10701 Rosemary Dr, Manassas, VA 20109-7282 | 2017-02-02 |
| 1669831780 | Angela M Paul | Counselor | 1341 Market Ave N, Canton, OH 44714-2605 | 2016-02-17 |
| Street Address |
4646 JOHN R ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344121 | Christopher Emil Hermann | Nurse Practitioner | 4646 John R St, Detroit, MI 48201-1916 | 2005-05-24 |
| 1881293892 | Derrick Williams | Registered Nurse | 4646 John R St, Detroit, MI 48201-1916 | 2020-10-21 |
| 1598371544 | Sonia Govil | Dietitian, Registered | 4646 John R St, Detroit, MI 48201-1916 | 2020-09-16 |
| 1740893569 | Nicholas Edward Peters | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2020-08-31 |
| 1710597455 | Amber Michelle Young | Social Worker | 4646 John R St, Detroit, MI 48201-1916 | 2020-08-07 |
| 1104434471 | Zeinab H Moussa | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-22 |
| 1235747346 | Samantha Beth Lewis | Psychologist | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-15 |
| 1477171189 | Rima Mohammad Fardos | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-09 |
| 1992323869 | Sarah F Waqhar | Student in an Organized Health Care Education/Training Program | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-08 |
| 1619594181 | Mellisa Ann Boyle | Student in an Organized Health Care Education/Training Program | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1487059325 | Lions Hearing Center of Michigan | Audiologist | 1326 St. Antoine, Detroit, MI 48226 | 2014-11-04 |
| 1992113104 | Shelly Shelton | Audiologist | 600 Arden Park Blvd, Detroit, MI 48202 | 2014-07-31 |
| 1619315868 | Sonya Veronica Ellis | Audiologist | 3162 E Lafayette St, Detroit, MI 48207-4378 | 2013-06-10 |
| 1104058015 | Ashley Marie Deeb | Audiologist | 2799 W Grand Blvd Dept Of, Detroit, MI 48202-2608 | 2009-08-12 |
| 1871729731 | Dmc Billing Associates, LLC | Audiologist | 3990 John R St Ste 1702, Detroit, MI 48201-2018 | 2009-06-05 |
| 1750432373 | Randall George Barden | Audiologist | 4 E Alexandrine St, Detroit, MI 48201-2031 | 2007-01-12 |
| 1063561660 | Deaf,hearing, and Sign Language Center Inc. | Audiologist | 19185 Wyoming St, Detroit, MI 48221-3219 | 2007-01-10 |
| 1124640123 | Nicole Lynn Greenwalt | Audiologist | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-05-12 |
| 1639731847 | Samantha Sue Panning | Audiologist | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2019-07-08 |
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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.