Provider Demographics
NPI:1609956085
Name:HELMUTH, PAUL JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JOSEPH
Last Name:HELMUTH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3640 MAIN ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1145
Mailing Address - Country:US
Mailing Address - Phone:413-739-0669
Mailing Address - Fax:413-739-0621
Practice Address - Street 1:3640 MAIN ST
Practice Address - Street 2:SUITE 207
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1145
Practice Address - Country:US
Practice Address - Phone:413-739-0669
Practice Address - Fax:413-739-0621
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA81068207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA081068OtherCONNECTICARE
MAJ16736OtherBLUE CROSS
MA3155561Medicaid
MA005129523OtherAETNA
MA38540OtherCHILDRENS MEDICAL SECURIT
MA6551222OtherCIGNA
MA66087OtherHARVARD PILGRIM
MA000000022120OtherBMC HEALTHNET
MA081068OtherTUFTS
MA18629OtherHEALTH NEW ENGLAND
MA110199716OtherRAILROAD MEDICARE
MA98308101OtherNETWORK HEALTHNET
MA110199716OtherRAILROAD MEDICARE
MA38540OtherCHILDRENS MEDICAL SECURIT