Jack Richard
Physician Assistant in Providence, Rhode Island
1730926940- Practice location
- 33 Staniford St, Providence, RI 02905-3105
- Phone
- 401-421-8800
- Fax
- 401-421-2492
- Last updated
- October 28, 2024
Jack Richard is a Physician Assistant based in Providence, RI. Jack Richard practices in Providence, RI. The NPI Number for Jack Richard is 1730926940 and holds a License No. PA01719 (RI). The current practice location address for Jack Richard is 33 Staniford St, Providence, RI 02905-3105 and can be reached out via phone at 401-421-8800 and via fax at 401-421-2492.
Provider Profile Details
- NPI Number
- 1730926940
- Provider Name
- Jack Richard
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 33 Staniford St, Providence, RI 02905-3105
- Phone Number
- 401-421-8800
- Fax Number
- 401-421-2492
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 15, 2024
- Last Update Date
- October 28, 2024
- Certification Date
- October 28, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 33 Staniford St
Providence, RI 02905-3105 - City
- Providence
- State
- Rhode Island
- Zip
- 02905-3105
- Phone Number
- 401-421-8800
- Fax Number
- 401-421-2492
Provider Business Mailing Address Details
- Address
- 36 Whetstone St
West Newbury, MA 01985-1432 - City
- West Newbury
- State
- MA
- Zip
- 01985-1432
- Phone Number
- 978-914-4086
License Information
- License Number
- PA01719
- License State
- RI
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Providence, RI
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- Jessica A Santaniello, PA-CPhysician Assistant · NPI 1023950193
- Kelsey Heck, PAPhysician Assistant · NPI 1003503459
- Kenneth M Paulhus Jr., PA-CPhysician Assistant · NPI 1447919139
- Meagan RichPhysician Assistant · NPI 1124446695
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Frequently Asked Questions
What is the NPI number of Jack Richard?
The NPI number of Jack Richard is 1730926940. It was assigned on July 15, 2024 and is currently active in the NPPES registry.
What is the specialty of Jack Richard?
Jack Richard is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA01719.
Where does Jack Richard practice?
The practice location is 33 Staniford St, Providence, RI 02905-3105. The office can be reached at 401-421-8800 (phone) or 401-421-2492 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730926940 directly on the NPPES registry website.