# DR. PAUL EDGAR RUNGE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1881691335
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 19486 | TN | Yes |
| 207W00000X | Ophthalmology Physician | ME58780 | FL | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | A39159 | CA | — |
| 208000000X | Pediatrics Physician | A39159 | CA | — |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 12/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0401145 | GHI | FL |
| 01 | — | 0805726 | UNITED HEALTHCARE | FL |
| 01 | — | 0927003 | AETNA HMO | FL |
| 01 | — | 31874 | BCBS/FL | FL |
| 01 | — | 3488212-001 | CIGNA PAL | FL |
| 05 | — | 379992100 | — | FL |
| 01 | — | 4197868 | AETNA PPO, MC, EC | FL |
| 01 | — | ME0058780 | FL LICENSE | FL |