Individual provider Active NPI

Paul Francis Maiocco, PA-C

  • Physician Assistant
  • Richland, WA
National Provider Identifier
1588748701
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10004410 Issued in WA
Practice address
310 Torbett St
Richland, WA 99354-2604
Phone
(509) 946-1695
Fax
(509) 946-7666
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10004410 WA Primary

Addresses

Primary practice location

310 Torbett St
Richland, WA 99354-2604

Mailing address

310 Torbett St
Richland, WA 99354-2604
Phone (509) 946-1695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319001598 WA Practitioner - Physician Assistant 3375434475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Urgent Care, PLLCGroup PAC ID 6507288990, 14 clinicians

Practice addresses (Care Compare)

37 Columbia Point Dr
Richland, WA 99352-4375
Phone (509) 300-1500

4605 Rd
Suite 68
Pasco, WA 99301-9366
Phone (509) 300-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7238NVMDGeneral Practice Dentistry
PA10004410WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Radiology, Inc. PS Current Accepting new patients
Health First Urgent Care, PLLC CurrentSince Jul 1, 2020 Accepting new patients
Washington Em-I Medical Services PC Physician Assistant Past Accepting new patients
Columbia Valley Emergency Physicians LLC Physician Assistant Past Accepting new patients
Northwest Healthcare and Wellness Center, PLLC Past Accepting new patients

Locations

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

5426 Road 68
Ste D
Pasco, WA 99301

37 Columbia Point Dr
Richland, WA 99352
Phone (509) 300-1500

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1588748701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 TORBETT ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542604",
            "telephone_number": "509-946-1695",
            "fax_number": "509-946-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 TORBETT ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542604",
            "telephone_number": "509-946-1695",
            "fax_number": "509-946-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIOCCO",
        "first_name": "PAUL",
        "middle_name": "FRANCIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.