DR. JEFFERY WAYNE PAULSON (NPI# 1407820426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407820426 |
| Entity Type | Individual |
| Full Name | DR. JEFFERY WAYNE PAULSON |
| Credential | MD |
| Practice Address |
Fleet Forces Command 1562 Mitscher Ave, Ste 250 Norfolk VA 23551-0001 |
| Mailing Address |
618 Shadow Tree Dr Oceanside CA 92054-7419 |
| Practice Telephone | 7578360106 |
| Practice Fax Number | 7578365499 |
| Mailing Telephone | 7604435621 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
G63842 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
FLEET FORCES COMMAND 1562 MITSCHER AVE, STE 250 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23551-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891775532 | Martin Lewis Snyder | Surgery | U.S.fleet Forces Command-command Surgeon, 1562 Mitscher Ave Suite 250, Norfolk, VA 23551-0001 | 2006-01-19 |
| 1366420853 | Supakunya Edmonson | Family Medicine | Uss Enterprise, Medical Dept, Norfolk, VA 23551-0001 | 2006-01-04 |
| 1871585448 | Tiffany A Jones | Dental Hygienist | Uss John F. Kennedy Cv-67, 1562 Mitscher Ave Suite 250, Norfolk, VA 23551-0001 | 2005-08-18 |
| 1831724061 | Steven Mitchell Hartzler | Physician Assistant | 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0001 | 2020-03-09 |
| 1194205716 | Caleb Swain | Student in an Organized Health Care Education/Training Program | 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0001 | 2018-08-14 |
| 1548757263 | Dylan Griffiths | Student in an Organized Health Care Education/Training Program | 1775 Forrestal Dr, Norfolk, VA 23551-0001 | 2018-04-18 |
| 1184129629 | Michael Uriah Hoerner | Student in an Organized Health Care Education/Training Program | Us Marine Corps Forces Command 1775 Forrestal Drive, Norfolk, VA 23551-0001 | 2018-03-27 |
| 1992208763 | Philippe Andrew Warren | Student in an Organized Health Care Education/Training Program | 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0001 | 2018-03-17 |
| 1780955534 | Christopher Halagarda | Dietitian, Registered | Us Marine Corps Forces Command, 1775 Forrestal Drive, Norfolk, VA 23551-0001 | 2012-01-25 |
| 1750945333 | Scott David Berkheimer | Student in an Organized Health Care Education/Training Program | 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0004 | 2019-04-29 |
| Find all providers in zip 23551 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255372231 | Syed S Hassan | Family Medicine | 13319 Woodbridge St, Woodbridge, VA 22191-1608 | 2006-06-09 |
| 1982241477 | Loving Steps Foundation | Family Medicine | 2811 Twain Ln, North Chesterfield, VA 23224-4421 | 2019-12-04 |
| 1134502016 | John Lee | Family Medicine | 201 S Main St, Danville, VA 24541-2927 | 2015-07-09 |
| 1467655340 | Jennifer D Robinson | Family Medicine | 10035 Sliding Hill Rd, Ashland, VA 23005-7953 | 2007-06-07 |
| 1255423448 | Cheryl M Belle | Family Medicine | 2809 North Ave, Suite 100, Richmond, VA 23222-3647 | 2006-09-28 |
| 1235181702 | George M Bright | Family Medicine | 13821 Village Mill Dr, Midlothian, VA 23114-4365 | 2006-05-16 |
| 1508817735 | Adolescent Health Center | Family Medicine | 13821 Village Mill Dr, Midlothian, VA 23114-4365 | 2006-05-12 |
| 1851391478 | George H Amberman IIi | Family Medicine | 1147 Independence Blvd, Virginia Beach, VA 23455-5545 | 2005-07-26 |
| 1811997471 | Jyon Rao | Family Medicine | 1147 Independence Blvd, Virginia Beach, VA 23455-5545 | 2005-07-26 |
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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.