Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fallon D Guin, PA-S

Individual provider Physician Assistant · NPI 1083280556

Fallon D Guin, PA-S is a Physician Assistant in Providence, Rhode Island. Qualified in 2021, 5 years ago. Practices with Affinity Physicians LLC, a 734-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
5
Licensed in
RI
In the registry since
2021
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Practice location Address checks out

345 Blackstone Blvd
Providence, RI 02906-4800
Phone: (401) 680-6502
Fax: (401) 680-4128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 Bald Hill Rd Ste 520, Warwick, RI 02886-1692 — (401) 793-8520

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01329 (RI)

Record details

NPI number1083280556
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S
Sole proprietorNo
NPI enumeratedJune 3, 2021
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024
Mailing address455 Toll Gate Rd, Warwick, RI 02886-2759

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Affinity Physicians Llc. — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence