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

Richard James Whitehead Jr., PAC

Individual provider Medical Physician Assistant · NPI 1487630919

Richard James Whitehead Jr., PAC is a Physician Assistant in Middletown, Connecticut. Qualified in 1999, 27 years ago. Practices with Middlesex Gastroenterology Associates, LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
27
Licensed in
CT
In the registry since
2005
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

410 Saybrook Rd Ste 201
Middletown, CT 06457-4777
Phone: (860) 347-4620
Fax: (860) 344-5995
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0000881 (CT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 000881 (CT)

Record details

NPI number1487630919
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedDecember 16, 2005
Last updated in NPPESMarch 25, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Middlesex Gastroenterology Associates, Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Middletown