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

Mr. Thomas Rysedorph, PA-C

Individual provider Physician Assistant · NPI 1114779139

Mr. Thomas Rysedorph, PA-C is a Physician Assistant in Richmond, Virginia. Licensed in Virginia. Registered with an NPI since 2024.

Licensed in
VA
In the registry since
2024
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

5801 Bremo Rd
Richmond, VA 23226-1907
Phone: (804) 285-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110010013 (VA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1114779139
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 3, 2024
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address5801 Bremo Rd, Richmond, VA 23226-1907

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