Individual provider Active NPI

Ellen Paquin, MD

  • Obstetrics & Gynecology Physician
  • Bedford, NH
National Provider Identifier
1306010624
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19743 Issued in NH
Practice address
201 Riverway PL
Bedford, NH 03110-6763
Phone
(603) 668-8400
Fax
(603) 626-7368
NPI assigned
Apr 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 042.0012446 VT
Obstetrics & Gynecology Physician 207V00000X 19743 NH Primary

Addresses

Primary practice location

201 Riverway PL
Bedford, NH 03110-6763

Mailing address

201 Riverway PL
Bedford, NH 03110-6763
Phone (603) 668-8400

Other practice location 1

21 Belmont Ave
Brattleboro Obstetrics & Gynecology
Brattleboro, VT 05301-7110
Phone (802) 251-9965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120918000544 VT Practitioner - Obstetrics/Gynecology 4486802337 Reassigns benefits to 1 organization
I20210831000994 MS Practitioner - Obstetrics/Gynecology 4486802337 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Mississippi PCGroup PAC ID 7416120407, 29 clinicians

Practice addresses (Care Compare)

200 Hwy 30 W
New Albany, MS 38652-3112
Phone (864) 908-3530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrics Gynecology Associates PA Obstetrics & Gynecology CurrentSince Jul 7, 2023 Accepting new patients
Obhg Mississippi, P.C. Obstetrics & Gynecology CurrentSince May 19, 2021 Accepting new patients
Brattleboro Memorial Hospital Obstetrics & Gynecology CurrentSince Aug 20, 2012 Accepting new patients
Baptist Memorial Hospital Union County, Inc. Past Accepting new patients

Locations

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

1793 Cliff Gookin Blvd
Tupelo, MS 38801
Phone (662) 842-1161

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

17 Belmont Ave
Ste 2401
Brattleboro, VT 05301
Phone (802) 251-9965

17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
  • Direct secure messaging: ellen.paquin.1@31210.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1306010624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106763",
            "telephone_number": "603-668-8400",
            "fax_number": "603-626-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106763",
            "telephone_number": "603-668-8400",
            "fax_number": "603-626-7368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Belmont Ave",
            "address_2": "Brattleboro Obstetrics & Gynecology",
            "address_purpose": "LOCATION",
            "city": "Brattleboro",
            "state": "VT",
            "postal_code": "053017110",
            "country_code": "US",
            "telephone_number": "802-251-9965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAQUIN",
        "first_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VT",
            "license": "042.0012446",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": "19743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.