RICHARD B HATHAWAY (PAC) – Physician Assistant, NPI 1710961966

RICHARD B HATHAWAY (PAC) is a healthcare provider. based in Blaine, Minnesota. specializing in Physician Assistant. They hold the professional credentials PAC. They hold a License No. 9199 (MN). The NPI Number for RICHARD B HATHAWAY (PAC) is 1710961966

Main info

Male
Name
RICHARD B HATHAWAY (PAC)
NPI
1710961966
Phone
(763) 785-4200
Address
12175 ABERDEEN ST NE
Enumeration Date
1 December 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for RICHARD B HATHAWAY (PAC)

  • 12175, Aberdeen Street Northeast, Johnsville, Blaine, Anoka County, Minnesota, 55449, United States

    BLAINE, MN 554494717

    Phone: (763) 785-4200

    Fax: (763) 785-3314

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55449)

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Reviews

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Frequently asked questions

Is there an official ID for RICHARD B HATHAWAY (PAC) in U.S. healthcare records?
The official identifier for RICHARD B HATHAWAY (PAC) is NPI 1710961966.
Active or inactive — what applies to RICHARD B HATHAWAY (PAC)?
You should see RICHARD B HATHAWAY (PAC) as active in CMS-hosted NPPES data.
What expertise is attributed to RICHARD B HATHAWAY (PAC)?
RICHARD B HATHAWAY (PAC)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Minnesota is RICHARD B HATHAWAY (PAC) registered?
Use Blaine, Minnesota as the headline location for RICHARD B HATHAWAY (PAC) here.
Can I trust this NPI listing for RICHARD B HATHAWAY (PAC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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