National Provider Identifier
Glenn Carl Richmond, PA-C
Glenn Carl Richmond, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 732-7678.
Source: public NPPES record, last updated May 19, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1487742458
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 11, 2006
- Last Updated
- May 19, 2025
Practice Location
- 75 Francis St
- Division Of Cardiac Surgery
- Boston, MA 02115-6110
Phone: (617) 732-7678
Mailing Address
- 41 Mall RD
- Burlington, MA 01805-0001
Specialties
- Physician Assistant (363A00000X)
- Surgical Physician Assistant (363AS0400X)
Browse Similar Providers
See more providers in the Physician Assistant classification in Boston, MA.
Biography
Glenn Richmond, PA-C, is a Boston-based physician assistant with a surgical practice background, including work in cardiac surgery. Public provider data lists him with the Division of Cardiac Surgery in Boston and notes an affiliation with Lahey Hospital & Medical Center; the same profile reports that he has been in practice since 1996. Medicare-reported procedure history also points to cardiac surgical support, including coronary bypass and endoscopic vein-harvest work.
Full Record
- NPI
- 1487742458
- Entity Type
- Individual
- Last Name
- Richmond
- First Name
- Glenn
- Middle Name
- Carl
- Name Prefix
- Mr.
- Credential
- PA-C
- Mailing Street Address
- 41 Mall RD
- Mailing City
- Burlington
- Mailing State
- MA
- Mailing ZIP Code
- 01805-0001
- Mailing Country
- US
- Practice Street Address
- 75 Francis St
- Practice Address Line 2
- Division Of Cardiac Surgery
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02115-6110
- Practice Country
- US
- Practice Phone
- (617) 732-7678
- Enumeration Date
- October 11, 2006
- Last Updated
- May 19, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- May 19, 2025
- Taxonomies
- Physician Assistant (363A00000X), Surgical Physician Assistant (363AS0400X)