MR. WELDON T RICHARDSON PA-C NPI 1629351614

NPI Information

  • NPI: 1629351614
  • Provider Name: MR. WELDON T RICHARDSON, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1341 E 17TH ST
    IDAHO FALLS, ID
    ZIP 83404
  • Phone: (208) 523-7246

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NPI Details

MR. Weldon T Richardson, PA-C is a medical physician assistant in Idaho Falls, ID with 15 years of experience. MR. Weldon T Richardson, PA-C NPI is 1629351614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1341 E 17TH ST
IDAHO FALLS, ID
ZIP 83404-235
Phone: (208) 523-7246

The NPI 1629351614 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician (HCPCS:62370)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)
  • Electronic analysis of spinal canal drug infusion pump (HCPCS:62367)
  • Electronic analysis and reprogramming of spinal canal drug infusion pump (HCPCS:62368)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)

The enumeration date for this NPI number is 9/26/2011 and was last updated on 9/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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