Paul Andre Vincent, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

Dept of Family Medicine
Madigan Army Med Ctr
Ft Lewis, WA 98431

Phone

(253) 966-7592

Fax

(253) 966-7653

NPI assigned

Dec 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437219672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9912 75TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984983336",
            "telephone_number": "253-984-6451",
            "fax_number": "253-984-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT OF FAMILY MEDICINE",
            "address_2": "MADIGAN ARMY MED CTR",
            "city": "FT LEWIS",
            "state": "WA",
            "postal_code": "98431",
            "telephone_number": "253-966-7592",
            "fax_number": "253-966-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "PAUL",
        "middle_name": "ANDRE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Barr Schaffer, PA-C
• Leesa M Smith, IDMT
• Christina S Taylor, LCSW
• Rachel Claire Thomas, ATC
• Gita Velu, MSW, LICSW, CDP
• Keisha Williams
• Melanie Juneq Wood, PA
• Todd Yamauchi, ATC

• Medical Physician Assistant in Fort Lewis, WA
• Providers in Fort Lewis, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.