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

Weston Tyler Richardson, PA

Individual provider Medical Physician Assistant · NPI 1700539905

Weston Tyler Richardson, PA is a Physician Assistant in Tucson, Arizona. Qualified in 2021, 5 years ago. Practices with Tmc Medical Network, a 277-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2022
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

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone: (520) 324-5461
Fax: (520) 324-1406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1600 S 20th Ave, Safford, AZ 85546-4011 — (928) 348-4000
  • 2501 W Burbank Blvd Ste 200, Burbank, CA 91505-2347 — (818) 856-9535

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 8944 (AZ)

Record details

NPI number1700539905
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 28, 2022
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Tmc Medical Network — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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