Healthcare Provider Details

I. General information

NPI: 1467653584
Provider Name (Legal Business Name): JASON PAQUIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7502 STATE RD STE 2210A
CINCINNATI OH
45255-2596
US

IV. Provider business mailing address

7502 STATE RD STE 2210A
CINCINNATI OH
45255-2596
US

V. Phone/Fax

Practice location:
  • Phone: 513-624-2070
  • Fax: 513-624-2077
Mailing address:
  • Phone: 513-624-2070
  • Fax: 513-624-2077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number35.092602
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number35092602
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35.092602
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: