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

Jacob Michael O'Quin

Individual provider Medical Physician Assistant · NPI 1205499605

Jacob Michael O'Quin is a Physician Assistant in Lafayette, Louisiana. Qualified in 2019, 7 years ago. Practices with Lourdes Physician Group LLC, a 156-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
7
Licensed in
LA
In the registry since
2019
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Practice location Address checks out

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone: (337) 470-2605
Fax: (337) 470-4595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1214 Coolidge Blvd, Lafayette, LA 70503-2621 — (337) 289-7991

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 313223 (LA)

Record details

NPI number1205499605
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2019
Last updated in NPPESFebruary 22, 2021
Certification dateFebruary 22, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lourdes Physician Group Llc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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