Active NPI
Reginald Robinson, PA-C
- Physician Assistant
- Paris, TX
National Provider Identifier
1205349875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA11619
- Practice address
- 865 Deshong Dr
Paris, TX 75460-9313 - Phone
- (903) 785-4521
- NPI assigned
- Nov 6, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11619 | TX | Primary |
Addresses
Primary practice location
865 Deshong Dr
Paris, TX 75460-9313
Mailing address
174 Saint Donovan St
Fort Worth, TX 76107-1252
Phone (512) 667-2219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509926400000",
"number": "1205349875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 SAINT DONOVAN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761071252",
"telephone_number": "512-667-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 DESHONG DR",
"city": "PARIS",
"state": "TX",
"postal_code": "754609313",
"telephone_number": "903-785-4521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "REGINALD",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-06",
"last_updated": "2017-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA11619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.