IndividualActive
Justin Paulson, M.D.
NPI 1316112667 · Pediatrics Physician · Oconomowoc, WI
Provider details
- NPI number
- 1316112667
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2011-00770 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
970 S Silver Lake St Ste 102
Oconomowoc, WI 53066-3802
Phone: (262) 569-7100
Fax: (262) 567-6295
Street-level locationGet directions
Mailing address
970 S Silver Lake St Ste 102
Oconomowoc, WI 53066-3802
Registry dates
- Enumerated
- 2008-04-28
- Last updated
- 2024-02-23
- Certified
- 2024-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.