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

Jose D Paniaqua, PA-C, ATC

Individual provider Athletic Trainer · NPI 1962584706

Jose D Paniaqua, PA-C, ATC is a Physician Assistant in Duluth, Minnesota. Qualified in 2012, 14 years ago. Practices with The Duluth Clinic Ltd, a 1,127-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

400 E Third Street Essentia Health Duluth Clinic
Duluth, MN 55805-1951
Phone: (218) 786-8364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11279 (MN)
Athletic Trainer Taxonomy 2255A2300X · Licence 1843 (MN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 11279 (MN)

Record details

NPI number1962584706
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , ATC
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESJuly 21, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice The Duluth Clinic Ltd — 1127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Duluth