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

Rodney Richmond, PA

Individual provider Physician Assistant · NPI 1679515423

Rodney Richmond, PA is a Physician Assistant in Watertown, New York. Qualified in 2000, 26 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
26
Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1575 Washington St
Watertown, NY 13601-9367
Phone: (315) 779-5070
Fax: (315) 779-5084
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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 007587 (NY)

Record details

NPI number1679515423
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESAugust 1, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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