Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Glenn Carl Richmond, PA-C

Individual provider Surgical Physician Assistant · NPI 1487742458

Mr. Glenn Carl Richmond, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 1996, 30 years ago. Practices with Lahey Clinic Inc, a 1,372-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
30
Licensed in
MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

75 Francis St Division Of Cardiac Surgery
Boston, MA 02115-6110
Phone: (617) 732-7678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41 Mall Rd, Burlington, MA 01805-6110 — (781) 744-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA804 (MA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 804 (MA)

Record details

NPI number1487742458
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 11, 2006
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Lahey Clinic Inc — 1372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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