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PAUL THURDEKOOS MD
NPI 1437145687
Surgery in Johnson City, TN

Active since September 23, 2005
3 PROFESSIONAL PARK DR, SUITE 31, JOHNSON CITY, TN 37604(423) 975-5650(423) 975-5652 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul Thurdekoos Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL THURDEKOOS MD (NPI 1437145687) is an individual surgery provider in Johnson City, Tennessee, licensed in Tennessee (MD12981) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1437145687
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePAUL THURDEKOOSCredential: MD
Location Address3 PROFESSIONAL PARK DR, SUITE 31Johnson City, TN 37604-6529
Mailing Address3 Professional Park Dr, Suite 31Johnson City, TN 37604-6529 · (423) 975-5650 · Fax (423) 975-5652
Phone(423) 975-5650
Fax(423) 975-5652
Sole ProprietorNo
Enumeration DateSeptember 23, 2005
Last NPPES UpdateJune 6, 2012
✔ NPI 1437145687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TN · MD12981
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3 PROFESSIONAL PARK DR, Johnson City, TN 37604
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Other Identifiers 3

Medicare UPINB04151TN
Medicaid3184779TN
Medicare ID-Type Unspecified3184779TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN LAWSON SURGICAL GROUP
Nurse Practitioner (Family)
3 PROFESSIONAL PARK DR, SUITE 31
JOHNSON CITY, TN 37604
Washington County (423) 975-5650
JAMES B HAIRE PA-C
Physician Assistant (Surgical)
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
DR. THOMAS L HUDDLESTON M.D.
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
DR. JOHN L HOLBROOK M.D.
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
LEWIS GORDON PORTER IV PA-C
Physician Assistant
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
WILLIAM STACY MELVIN P.A.
Physician Assistant (Surgical)
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
DR. JAMES A GOSS M.D.
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Washington County (423) 434-6300
APPALACHIAN ORTHOPAEDIC ASSOCIATES P C
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, STE 21
JOHNSON CITY, TN 37604
Washington County (423) 979-3333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Thurdekoos's NPI number?

The NPI number for Paul Thurdekoos is 1437145687. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Paul Thurdekoos located?

Paul Thurdekoos practices at 3 Professional Park Dr Suite 31, Johnson City, TN 37604. The listed phone number is (423) 975-5650.

What is Paul Thurdekoos's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Paul Thurdekoos was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.