| Dr Jonathan Raj Paul, MD | |
|
1224 Trotwood Ave, Columbia, TN 38401-4802 | |
| (931) 381-1111 | |
| Not Available |
| Full Name | Dr Jonathan Raj Paul |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 1224 Trotwood Ave, Columbia, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639696362 | NPI | - | NPPES |
| 114535000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 71718 (Tennessee) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 71718 (Tennessee) | Primary |
| Entity Name | Lee Memorial Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
| Entity Name | Lee Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942058557 PECOS PAC ID: 9335672146 Enrollment ID: O20241114001576 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Raj Paul, MD 1224 Trotwood Ave, Columbia, TN 38401-4802 Ph: (931) 381-1111 | Dr Jonathan Raj Paul, MD 1224 Trotwood Ave, Columbia, TN 38401-4802 Ph: (931) 381-1111 |
Bethany G Summerford, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111 | |
Dr. Hany Nimr Rezk, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401 Phone: 931-388-3209 Fax: 931-388-0105 | |
Anthony Donald Haase Iii, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-380-4072 Fax: 931-490-7043 | |
Christopher R Edwards, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111 | |
Dr. Cheryl Buttram Clayton, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401 Phone: 931-388-3209 Fax: 931-388-0105 | |
John Spencer Jensen, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1222 Trotwood Ave, Suite 503, Columbia, TN 38401 Phone: 931-490-7775 Fax: 931-490-7797 | |
Dominic J Papa, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-380-4032 Fax: 931-490-7043 |