GERARD CONRAD RICHTER PA NPI 1790858348

NPI Information

  • NPI: 1790858348
  • Provider Name: GERARD CONRAD RICHTER, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 301 PROSPECT AVE
    SURGICAL PA OFFICE ROOM 4202
    SYRACUSE, NY
    ZIP 13203
  • Phone: (315) 448-2876

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NPI Details

Gerard Conrad Richter, PA is a surgical physician assistant in Syracuse, NY. Gerard Conrad Richter, PA NPI is 1790858348. 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:

301 PROSPECT AVE
SURGICAL PA OFFICE ROOM 4202
SYRACUSE, NY
ZIP 13203-807
Phone: (315) 448-2876

The NPI 1790858348 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 3/3/2008.

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
1363AS0400XPhysician AssistantSurgical003572-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1BB9670MEDICARE PIN

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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