Healthcare Provider Details

I. General information

NPI: 1801970322
Provider Name (Legal Business Name): PAUL W. TEMPLETON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 04/07/2022
Certification Date: 04/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

484 W. STATE STREET
DOYLESTOWN PA
18901-2554
US

IV. Provider business mailing address

P.O. BOX 892
CONCORDVILLE PA
19331-0892
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-2290
  • Fax: 215-345-2596
Mailing address:
  • Phone: 610-372-4957
  • Fax: 610-372-3117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number013505
License Number StateME

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier309250099
Identifier TypeMEDICAID
Identifier StateME
Identifier Issuer
# 2
IdentifierF54087
Identifier TypeOTHER
Identifier StateME
Identifier IssuerHPHC
# 3
Identifier0005709031
Identifier TypeOTHER
Identifier StateME
Identifier IssuerAETNA/USHC
# 4
IdentifierM83153
Identifier TypeOTHER
Identifier StateME
Identifier IssuerCIGNA
# 5
Identifier024278
Identifier TypeOTHER
Identifier StateME
Identifier IssuerANTHEM
# 6
Identifier102521592-0002
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 7
Identifier2323447
Identifier TypeOTHER
Identifier StateME
Identifier IssuerAETNA
# 8
IdentifierP00897057
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerRR MEDICARE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: