Richard James Whitehead Jr., PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0000881 Issued in CT

Practice address

410 Saybrook Rd
Suite 201
Middletown, CT 06457-4777

Phone

(860) 347-4620

Fax

(860) 344-5995

NPI assigned

Dec 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Middlesex Gastroenterology Associates, LLCGroup PAC ID 5597657627, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Merit-based Incentive Payment System (MIPS)

Final score

90.77 of 100Reported as group

Quality

90.77

Improvement activities

40

Cost

74.77

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Middlesex Gastroenterology Associates, LLC

  • Gastroenterology Physician
  • Middletown, CT
  • NPI 1205894375
  Medicare reassignment Care Compare group
• Hartford Physician Services PC

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1164404117

  Physician Assistant

  NPD (past)
• Integrated Anesthesia Associates LLC

  • Anesthesiology Physician
  • Shelton, CT
  • NPI 1881636397

  Physician Assistant

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Middlesex Hospital

  • General Acute Care Hospital
  • Middletown, CT
  • NPI 1760454334
  Care Compare affiliation

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1487630919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD",
            "address_2": "SUITE 201",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-347-4620",
            "fax_number": "860-346-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD",
            "address_2": "SUITE 201",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574777",
            "telephone_number": "860-347-4620",
            "fax_number": "860-344-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "000881",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "0000881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Whipple, APRN
• Allison H Whitaker, M.D.
• Damon White, MS, ATC, NASM-PES
• Deborah A. Whitehead, M.D.
• Jacqueline T Whitehead, LCSW
• Courtney Rose Whittle, PA-C
• Whole Heart Art Therapy & Creative Counseling
• David E Wilcox, MD
• Kristen Wilcox, LCSW
• Collette Willard, LMSW

• Physician Assistant in Middletown, CT
• Providers in Middletown, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.