MEDICARE: DR. PAULA ROSE ROOT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	16489	OK
2	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	16489	OK

General Provider Information

NPI Number	:	1417173071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAULA ROSE ROOT M.D.

Provider Business Mailing Address
First Line	:	3401 NW 63RD ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-3707
Country	:	US
Telephone Number	:	405-316-7095
Fax Number	:	405-316-7160

Provider Business Practice Location Address
First Line	:	3401 NW 63RD ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-3707
Country	:	US
Telephone Number	:	405-316-7095
Fax Number	:	405-316-7160

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	09/11/2025

Similar Medicare Providers

1083686828 — AMERICAN HOMEPATIENT, INC.
Practice Location Address:

3231 GORDON DR
SIOUX CITY, IA
51105-3707

Practice Phone: 712-258-7000
Practice Fax: 712-233-6023

1063485365 — HOSPICE OF SIOUXLAND
Practice Location Address:

309 COOK ST
SIOUX CITY, IA
51103-3707

Practice Phone: 712-233-4144
Practice Fax:

1043323736 — KU HEALTH PARTNERS, INC
Practice Location Address:

3901 RAINBOW BLVD # MS 3707
KANSAS CITY, KS
66160-0001

Practice Phone: 913-588-5277
Practice Fax: 913-588-1693

1114028008 — DR. BARRY JOE ROBERTSON DDS
Practice Location Address:

3707 N TWIN CITY HWY
PORT ARTHUR, TX
77642

Practice Phone: 409-962-9391
Practice Fax: 409-962-3932

1891884235 — DR. GREGORY THOMAS KUNZ DDS
Practice Location Address:

3707 N. TWIN CITY HWY.
PORT ARTHUR, TX
77642-2116

Practice Phone: 409-962-9391
Practice Fax: 409-962-3932

1487729950 — MR. MICHAEL W WRIGHT ATC
Practice Location Address:

2800 PIERCE ST STE 102
SIOUX CITY, IA
51104-3707

Practice Phone: 712-253-0990
Practice Fax: 712-255-9490

Directions to “ DR. PAULA ROSE ROOT M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.