Provider Demographics
NPI:1629162151
Name:RICHARD A. PAAT, M.D.,LLC
Entity Type:Organization
Organization Name:RICHARD A. PAAT, M.D.,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALMIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAAT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:419-893-9413
Mailing Address - Street 1:P.O. BOX 8718
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-8718
Mailing Address - Country:US
Mailing Address - Phone:419-893-9413
Mailing Address - Fax:419-893-0026
Practice Address - Street 1:235 W. WAYNE ST.
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-8718
Practice Address - Country:US
Practice Address - Phone:419-893-9413
Practice Address - Fax:419-893-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35029753207Q00000X
OH35055913207R00000X
OH08472363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========OtherSTATE ID NUMBER
OHDR9335081Medicare ID - Type UnspecifiedMEDICARE GROUP NO.