Provider Demographics
NPI:1801876826
Name:SCHWIGER, PAUL ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ALLEN
Last Name:SCHWIGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:PAUL
Other - Middle Name:ALLEN
Other - Last Name:SCHWIGER
Other - Suffix:JR
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 686
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TN
Mailing Address - Zip Code:37371-0686
Mailing Address - Country:US
Mailing Address - Phone:423-368-2171
Mailing Address - Fax:
Practice Address - Street 1:2800 TAMARACK AVE STE 104
Practice Address - Street 2:
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074-5553
Practice Address - Country:US
Practice Address - Phone:860-533-4695
Practice Address - Fax:860-648-0013
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0026667207X00000X
CT62163207X00000X
TNMD10210174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3388266Medicaid
TN100011158OtherPHP TNCARE
TN3388266Medicaid
TN100011158OtherPHP TNCARE