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

Mr. Timothy Richardson

Individual provider Physician Assistant · NPI 1407378136

Mr. Timothy Richardson is a Physician Assistant in Lone Tree, Colorado. Qualified in 2017, 9 years ago. Practices with Advanced Urology PLLC, a 58-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Washington.

Years since qualifying
9
Licensed in
CO, WA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

10535 Park Meadows Blvd Ste 102
Lone Tree, CO 80124-8456
Phone: (303) 695-6106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3825 N Lafayette St, Denver, CO 80205-3316 — (303) 500-1518

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA0007294 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA60779457 (WA)

Record details

NPI number1407378136
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 14, 2017
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address10200 Grand Central Ave Ste 220, Owings Mills, MD 21117-4366

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Advanced Urology Pllc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lone Tree