Active NPI
Robert T Paquin, PA
- Physician Assistant
- Cape Coral, FL
National Provider Identifier
1770728685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9107234
- Practice address
- 1003 Del Prado Blvd S
Cape Coral, FL 33990-3601 - Phone
- (239) 574-4600
- Fax
- (239) 574-2621
- NPI assigned
- Dec 5, 2008
- 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 | PA9107234 | FL | Primary |
Addresses
Primary practice location
1003 Del Prado Blvd S
Cape Coral, FL 33990-3601
Mailing address
1003 Del Prado Blvd S Ste 101
Cape Coral, FL 33990-3601
Phone (239) 574-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279500 | Other | IL | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1003 Del Prado Blvd S
Suite 101
Cape Coral, FL 33990-3601
Phone (239) 574-4600
Hospital & facility affiliations
- Cape Coral Hospital
- Lee Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9107234 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christie Clinic, PLLC | Past | Accepting new patients |
Interoperability endpoints
- rpaquin@capecoralentcenter.emadirect.md
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Cape Coral, FL
- NPI 1942485487
-
- Internal Medicine Physician
- Champaign, IL
- NPI 1871523829
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1770728685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 DEL PRADO BLVD S STE 101",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339903601",
"telephone_number": "239-574-4600",
"fax_number": "239-574-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339903601",
"telephone_number": "239-574-4600",
"fax_number": "239-574-2621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAQUIN",
"first_name": "ROBERT",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-05",
"last_updated": "2022-02-14",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9107234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "279500",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.