Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ROBERT LEO DESJARDIN PA
NPI 1942292198
Physician Assistant in Appleton, WI

Active since August 15, 2005
1818 N MEADE ST, SUITE 240 WEST, APPLETON, WI 54911(920) 731-8289(920) 832-0444 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Robert Leo Desjardin Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT LEO DESJARDIN PA (NPI 1942292198) is an individual physician assistant in Appleton, Wisconsin, licensed in Wisconsin (49 023) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1942292198
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameROBERT LEO DESJARDINCredential: PA
Location Address1818 N MEADE ST, SUITE 240 WESTAppleton, WI 54911-3454
Mailing Address1818 N Meade St, Suite 240 WestAppleton, WI 54911-3454 · (920) 731-8289 · Fax (920) 832-0444
Fax(920) 832-0444
Sole ProprietorNo
Enumeration DateAugust 15, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1942292198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 49 023
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1818 N MEADE ST, Appleton, WI 54911

Other Identifiers 1

Medicaid42901200WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
1818 N MEADE ST, SUITE 240 WEST
APPLETON, WI 54911
Emergency Medicine (Emergency Medical Services)
1818 N MEADE ST
APPLETON, WI 54911
Emergency Medicine (Emergency Medical Services)
1818 N MEADE ST
APPLETON, WI 54911
Nurse Practitioner (Family)
1818 N MEADE ST
APPLETON, WI 54911
Emergency Medicine (Emergency Medical Services)
1818 N MEADE ST
APPLETON, WI 54911
Emergency Medicine (Emergency Medical Services)
1818 N MEADE ST
APPLETON, WI 54911
Emergency Medicine (Emergency Medical Services)
1818 N MEADE ST
APPLETON, WI 54911
Anesthesiology
1818 N MEADE ST
APPLETON, WI 54911

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942292198, enumerated as an "individual" on August 15, 2005.

The provider is located at 1818 N MEADE ST SUITE 240 WEST APPLETON, WI 54911 and the phone number is (920) 731-8289.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.