Active NPI
Joseph D Paquette, M.D.
- Family Medicine Physician
- Fredericksburg, VA
National Provider Identifier
1831160902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101033516
- Practice address
- 300 Park Hill Dr
Fredericksburg, VA 22401-3387 - Phone
- (540) 361-7641
- Fax
- (540) 361-1246
- NPI assigned
- Jan 27, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101033516 | VA | Primary |
Addresses
Primary practice location
300 Park Hill Dr
Fredericksburg, VA 22401-3387
Mailing address
PO Box 1460
Fredericksburg, VA 22402-1460
Phone (540) 786-2100
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82930 | Other | VA | MAMSI HMO |
| 4091710 | Other | VA | AETNA NON HMO |
| 0897762 | Other | VA | AETNA HMO |
| CA9037 | Other | VA | MCR RAILROAD GROUP |
| 00090766 | Other | VA | AETNA CAP |
| 285290 | Other | VA | ANTHEM |
| 005620341 | Medicaid | VA | |
| 22930 | Other | VA | MAMSI PPO |
| 0101033516 | Other | VA | LICENSE |
| CO2375 | Other | VA | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1831160902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1460",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224021460",
"telephone_number": "540-786-2100",
"fax_number": "540-786-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PARK HILL DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224013387",
"telephone_number": "540-361-7641",
"fax_number": "540-361-1246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAQUETTE",
"first_name": "JOSEPH",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101033516",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI HMO",
"identifier": "82930",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON HMO",
"identifier": "4091710",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0897762",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR RAILROAD GROUP",
"identifier": "CA9037",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA CAP",
"identifier": "00090766",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "285290",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005620341",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI PPO",
"identifier": "22930",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0101033516",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "CO2375",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.