Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Weldon T Richardson III, PA-C

Individual provider Medical Physician Assistant · NPI 1629351614

Mr. Weldon T Richardson III, PA-C is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2011, 15 years ago. Practices with Mountain View Hospital LLC, a 267-clinician group and accepts Medicare assignment.

Years since qualifying
15
In the registry since
2011
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

1341 E 17th St
Idaho Falls, ID 83404-6235
Phone: (208) 523-7246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1629351614
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 26, 2011
Last updated in NPPESSeptember 26, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Mountain View Hospital Llc — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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