Basic Information
| Provider Information | |||||||||
| NPI: | 1649260993 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHULZ | ||||||||
| FirstName: | PAUL | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 950202 | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402950202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5022725100 | ||||||||
| FaxNumber: | 5022725116 | ||||||||
| Practice Location | |||||||||
| Address1: | 4950 NORTON HEALTHCARE BLVD STE 303 | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402412848 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5023946470 | ||||||||
| FaxNumber: | 5023946477 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/27/2005 | ||||||||
| LastUpdateDate: | 01/21/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/21/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | 01052997A | IN | N | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | 207RI0200X | 35859 | KY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
ID Information
| ID | Type | State | Issuer | Description | 000000644737 | 01 | KY | ANTHEM- NORTON INPATIENT SPECIALISTS | OTHER | 50027037 | 01 | KY | PASSPORT- NORTON COMMUNITY MEDICAL ASSOCIATES | OTHER | 50029102 | 01 | KY | PASSPORT- NCMA- EGS | OTHER | 000000644740 | 01 | KY | ANTHEM- NORTON COMMUNITY MEDICAL ASSOCIATES | OTHER | 3759055000 | 01 | KY | PASSPORT ADVANTAGE- NORTON COMMUNITY MEDICAL ASSOCIATES | OTHER | 64055775 | 05 | KY | MEDICAID | 3759057000 | 01 | KY | PASSPORT ADVANTAGE- NORTON INPATIENT SPECIALISTS | OTHER | 000052152V | 01 | KY | HUMANA- NORTON INPATIENT SPECIALISTS | OTHER | 50027039 | 01 | KY | PASSPORT- NORTON INPATIENT SPECIALISTS | OTHER | P00386688 | 01 | RAILROAD MEDICARE | OTHER | 200442190 | 05 | IN | MEDICAID |