MR. TIMOTHY RICHARDSON (NPI# 1407378136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407378136 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY RICHARDSON |
| Practice Address |
915 Anderson Dr Aberdeen WA 98520-1006 |
| Mailing Address |
808 Navajo Dr Riverside CA 92507-6047 |
| Practice Telephone | 3605328330 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA60779457 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528427580 | Timothy Richardson | Physical Therapy Assistant | 8331 Maple Hill Ln, Tuscaloosa, AL 35405-8694 | 2016-02-18 |
| 1184855967 | Timothy Richardson | Dentist | 4122 Quest Dr, Eugene, OR 97402-8768 | 2009-07-28 |
| 1326276858 | Timothy Gerard Richardson | Chiropractor | 11348 Tara Blvd Ste 100, Hampton, GA 30228-6277 | 2009-06-23 |
| 1962885632 | Timothy Richardson | Emergency Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2015-06-30 |
| 1124448667 | Timothy Richardson | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75235-7708 | 2014-04-23 |
| 1174743876 | Timothy Michael Richardson | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2007-04-26 |
| 1164446548 | Timothy Richardson | Dermatology | 36867 Cook St, Suite 101, Palm Desert, CA 92211-6064 | 2006-07-27 |
| 1053354753 | Timothy John Richardson | Internal Medicine | 1 Va Ctr, Mdp 11, Augusta, ME 04330-6719 | 2006-06-13 |
| Street Address |
915 ANDERSON DR |
| City | ABERDEEN |
| State | WA |
| Zip Code | 98520-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750334637 | Coastal Physician Anesthesia, Ps | Anesthesiology | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2006-05-19 |
| 1164048575 | Arashpreet Kaur Gill | Student in an Organized Health Care Education/Training Program | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2020-06-22 |
| 1295351716 | Norman Michael Snook | Student in an Organized Health Care Education/Training Program | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2020-06-20 |
| 1942825435 | Conner Martin Smith | Student in an Organized Health Care Education/Training Program | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2020-06-10 |
| 1508403197 | Michelle Eva Morholt | Nurse Practitioner | 915 Anderson Dr, Aberdeen, WA 98520-1097 | 2019-12-03 |
| 1801430350 | Maureen Ann Esget | Physical Therapy Assistant | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2019-10-28 |
| 1336798578 | John Harris | Student in an Organized Health Care Education/Training Program | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2019-09-10 |
| 1992354807 | Carter Thomas | Student in an Organized Health Care Education/Training Program | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2019-09-04 |
| 1467018275 | Ninoshka M Rivera Roldan | Student in an Organized Health Care Education/Training Program | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2019-05-16 |
| 1003472820 | Magdelene Kay May | Student in an Organized Health Care Education/Training Program | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2019-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
| 1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
| 1629587738 | Robert Williams | Counselor | Catholic Community Services, 403 West State Street, Suite 206, Aberdeen, WA 98520 | 2017-09-21 |
| 1174032296 | Amy D Tyler | Peer Specialist | 403 W State Street, Ste 206, Aberdeen, WA 98520 | 2017-09-20 |
| 1073032819 | Amanda Leona Franklin | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-09-13 |
| 1184141152 | Chrystal Lynn Beckley | Counselor | 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 | 2017-08-29 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| 1437570249 | Aberdeen Therapy Works | Occupational Therapist | 100 S. I Street, Suite 205, Aberdeen, WA 98520 | 2013-12-20 |
| Find all providers in zip 98520 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962043455 | Amanda Jennifer Lloyd | Physician Assistant | 147 Andover Ln, Aberdeen, NJ 07747-1230 | 2019-10-04 |
| 1730109547 | Percy E Golson | Physician Assistant | 815 First Avenue Se, Aberdeen, SD 57401 | 2006-07-21 |
| 1528031549 | Sean Christopher Kenny | Physician Assistant | 2301 8th Ave Ne Ste 225, Aberdeen, SD 57401-3253 | 2006-02-09 |
| 1730161399 | Debra S Mckay | Physician Assistant | 306 N Main, Aberdeen, ID 83210 | 2005-11-18 |
| 1619959236 | Wayne L Washenberger | Physician Assistant | 701 8th Ave Nw Ste A, Aberdeen, SD 57401-1865 | 2005-11-18 |
| 1164980108 | Christine Theresa De Carlo | Physician Assistant | 915 Anderson Dr, Aberdeen, WA 98520 | 2019-03-08 |
| 1275000994 | Rebecca Leilani Olbrys | Physician Assistant | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2018-10-31 |
| 1427537448 | Breanne Murray | Physician Assistant | 1211 Skyview Dr, Aberdeen, WA 98520-1099 | 2018-08-09 |
| 1386136158 | Katherine Fritz | Physician Assistant | 915 Anderson Dr, Aberdeen, WA 98520 | 2018-06-06 |
| 1659883627 | Sarah Elizabeth Hudson | Physician Assistant | 915 Anderson Dr, Aberdeen, WA 98520 | 2017-10-31 |
| Find all providers in ABERDEEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.