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: July 19, 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
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

Other Identifiers 3

Medicare UPINB04151TN
Medicaid3184779TN
Medicare ID-Type Unspecified3184779TN

Other Providers at the Same Location NPPES 19

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

Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Physician Assistant
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Physician Assistant
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Orthopaedic Surgery
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604
Physician Assistant
3 PROFESSIONAL PARK DR, SUITE 21
JOHNSON CITY, TN 37604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437145687, enumerated as an "individual" on September 23, 2005.

The provider is located at 3 PROFESSIONAL PARK DR SUITE 31 JOHNSON CITY, TN 37604 and the phone number is (423) 975-5650.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.