Jack Richard
Jack Richard is a Physician Assistant in Providence, Rhode Island. Qualified in 2024, 2 years ago. Practices with University Gastroenterology, LLC, a 99-clinician group and accepts Medicare assignment. Licensed in Rhode Island.
- Years since qualifying
- 2
- Licensed in
- RI
- In the registry since
- 2024
Practice location Address checks out
33 Staniford StProvidence, RI 02905-3105
Phone: (401) 421-8800
Fax: (401) 421-2492
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA01719 (RI) |
|---|
Record details
| NPI number | 1730926940 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 15, 2024 |
| Last updated in NPPES | October 28, 2024 |
| Certification date | October 28, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | University Gastroenterology, Llc — 99 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Payments from drug and device companies, 2025
| Food and Beverage | $868 |
|---|
Practises at
- Kent County Memorial Hospital Hospital · Warwick, RI
- The Miriam Hospital Hospital · Providence, RI
- Rhode Island Hospital Hospital · Providence, RI
Colleagues at University Gastroenterology, LLC
- Nicole D Campbell, NP Acute Care Nurse Practitioner · Providence, RI
- MS. Deirdre Odelia Couture, RNP Adult Health Nurse Practitioner · Cranston, RI
- Steven Creamer, CRNA Certified Registered Nurse Anesthetist · Providence, RI
- Jodi Lynn Criner Nurse Practitioner · Smithfield, RI
- Elizabeth Decker, DO Internal Medicine Physician · Warwick, RI
- Jaclyn Decoursey, PA-C Physician Assistant · Providence, RI
- Mrs. Allison Foster, PA-C Physician Assistant · Providence, RI
- Mrs. Lea Rene Kelly, NP-C Nurse Practitioner · Providence, RI
- Kevin S. Palumbo, MD Gastroenterology Physician · Providence, RI
- Pranith Nuwan Perera, MD Gastroenterology Physician · Portsmouth, RI
- Elisabeth Pollis, PA-C Physician Assistant · Cranston, RI
- Colin Matthew Woodard, DO Gastroenterology Physician · Cranston, RI
Other providers in Providence
-
Katherine Quinn, PA-C
593 Eddy St, Providence, RI 02903-4923 · (401) 444-4000
-
Paula Reisler, PA-C
164 Summit Ave C70, Providence, RI 02906-2853 · (401) 793-4545
-
Antonio Emmanuel Reisopoulos, PA-C
7 Central St, Providence, RI 02907-2201 · (401) 648-4700
-
Meagan Rich
150 Chestnut St, Providence, RI 02903-4645 · (833) 229-0957
-
Cally Rodrigues, PA-C
100 Dudley St Fl 3, Providence, RI 02905-3233 · (401) 453-7953
-
Tara Rodrigues, PA-C
593 Eddy St, Providence, RI 02903-4923 · (401) 793-9166
-
Samantha Luella Ronayne, PA-C
2 Dudley St Ste 470, Providence, RI 02905-3248 · (401) 272-1800
-
Andrew Timothy Rowles, PA-C
593 Eddy St, Providence, RI 02903 · (401) 444-3985