Healthcare Provider Details

I. General information

NPI: 1629162151
Provider Name (Legal Business Name): RICHARD A. PAAT, M.D.,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 W. WAYNE ST.
MAUMEE OH
43537-8718
US

IV. Provider business mailing address

P.O. BOX 8718
MAUMEE OH
43537-8718
US

V. Phone/Fax

Practice location:
  • Phone: 419-893-9413
  • Fax: 419-893-0026
Mailing address:
  • Phone: 419-893-9413
  • Fax: 419-893-0026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number08472
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35029753
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35055913
License Number StateOH

VIII. Authorized Official

Name: ALMIRA PAAT
Title or Position: OFFICE MANAGER
Credential: RN
Phone: 419-893-9413