Healthcare Provider Details

I. General information

NPI: 1447143466
Provider Name (Legal Business Name): PAUL SURGICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MEDICAL CENTER DR STE 250
MIDDLETOWN OH
45005-2594
US

IV. Provider business mailing address

5887 SPINNEY CT
SPRINGBORO OH
45066-3500
US

V. Phone/Fax

Practice location:
  • Phone: 937-883-5598
  • Fax: 937-915-0908
Mailing address:
  • Phone: 937-477-6143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN KYLE PAUL
Title or Position: OWNER
Credential: DO
Phone: 937-477-6143