Paula C Richardson, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2436 Issued in AZ

Practice address

3145 E Chandler Blvd
Suite 110-207
Phoenix, AZ 85048-8702

Phone

(602) 615-9082

Fax

(480) 634-4415

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Paula C Gildersleeve Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Group of Arizona Professional Corporation

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1215275433
  Medicare reassignment
• Emergency Physicians Southwest, PC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1912053752
  Medicare reassignment
• Tec Emergency Physicians of Arizona, LLC

  • Emergency Care Clinic/Center
  • Gilbert, AZ
  • NPI 1245772870
  Medicare reassignment
• Quantum Healthcare Medical Associates of Arizona, PC

  • Emergency Medicine Physician
  • Pleasanton, CA
  • NPI 1821391269

  AZ

  Medicare reassignment
• Surgency Physician Assistant PLLC

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1184894768
  NPD (past) Authorized official
• Surgical Physicians Assistants Inc

  • Surgical Physician Assistant
  • Mesa, AZ
  • NPI 1417984501
  NPD (past)
• Surgical Professionals, Inc

  • Surgery Physician
  • Mesa, AZ
  • NPI 1982629978
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1124059852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 E CHANDLER BLVD",
            "address_2": "SUITE 110-207",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488702",
            "telephone_number": "602-615-9082",
            "fax_number": "480-634-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 E CHANDLER BLVD",
            "address_2": "SUITE 110-207",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488702",
            "telephone_number": "602-615-9082",
            "fax_number": "480-634-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "PAULA",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "2436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AZ",
            "identifier": "AZ0423330",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ HEALTHNET",
            "identifier": "2Z3845",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "GILDERSLEEVE",
            "middle_name": "C",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Logan Richardson, OTR/L
• Mark Richardson, FNP-C
• Marnie Richardson
• Nicole Richardson, LAC
• Patrick Richardson, APRN
• Randy Richardson, MD
• Stephanie M Richardson, LPN
• Steven L Richardson, DMD
• Susan L Richardson, PH.D.
• Tatum Richardson

• Surgical Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.