DR. ANTHONY MICHAEL DAVID PAOLUCCI MD
NPI 1902646300
Student in an Organized Health Care Education/Training Program in Flagstaff, AZ

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 31, 2024PECOS Enrolled

2920 N 4TH ST, FLAGSTAFF, AZ 86004(928) 522-9874 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Anthony Michael David Paolucci Md NPPES

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

DR. ANTHONY MICHAEL DAVID PAOLUCCI MD (NPI 1902646300) is an individual student in an organized health care education/training program in Flagstaff, Arizona, licensed in Arizona (R81297) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902646300

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ANTHONY MICHAEL DAVID PAOLUCCICredential: MD

Location Address2920 N 4TH STFlagstaff, AZ 86004-1816

Mailing Address3301 Old Forge RdKent, OH 44240-6719 · (330) 283-3915

Phone(928) 522-9874

Sole ProprietorYes

Enumeration DateMay 31, 2024

Last NPPES UpdateJuly 5, 2024

NPPES CertifiedJuly 5, 2024

✔ NPI 1902646300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in AZ · R81297

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2920 N 4TH ST, Flagstaff, AZ 86004

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anthony Michael David Paolucci Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.