National Provider Identifier
Theresa Richardson, PA
Theresa Richardson, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 338-2700.
Profile Overview
- NPI
- 1427130822
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- October 19, 2006
- Last Updated
- May 15, 2023
Practice Location
- 140 Canal View Blvd
- Suite 102
- Rochester, NY 14623-2808
Phone: (585) 338-2700
Specialties
- Medical Physician Assistant (363AM0700X)
- Medical Physician Assistant (363AM0700X)
- Physician Assistant (363A00000X)
Endpoints
- trichardson103129@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1427130822
- Entity Type
- Individual
- Last Name
- Richardson
- First Name
- Theresa
- Credential
- PA
- Mailing Street Address
- 140 Canal View Blvd
- Mailing Address Line 2
- Suite 102
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-2808
- Mailing Country
- US
- Mailing Phone
- (585) 338-2700
- Mailing Fax
- (585) 242-9663
- Practice Street Address
- 140 Canal View Blvd
- Practice Address Line 2
- Suite 102
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-2808
- Practice Country
- US
- Practice Phone
- (585) 338-2700
- Practice Fax
- (585) 242-9663
- Enumeration Date
- October 19, 2006
- Last Updated
- May 15, 2023
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)
- Other Identifiers
- 918196001 (Community Blue), PA0169 (Preferred Care), PO19004950 (Blue Choice), 000918196001 (Healthnow)