Richard Donnelly, P.A.-C.
NPI 1396729455 · Surgical Physician Assistant · Lakeside, AZ
Richard Donnelly, P.A.-C. is a Surgical Physician Assistant provider in Lakeside, AZ (NPI 1396729455).
Provider details
- NPI number
- 1396729455
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1105 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-02
- Last updated
- 2011-02-16
Frequently asked questions
- What is Richard Donnelly's NPI number?
- Richard Donnelly's National Provider Identifier (NPI) is 1396729455, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Donnelly's specialty?
- Richard Donnelly is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Richard Donnelly located?
- Richard Donnelly's practice location on file with NPPES is 43 W. White Mountain Blvd, Lakeside, AZ 85929-7002.
- What is Richard Donnelly's phone number?
- The practice phone number listed in the NPPES registry for Richard Donnelly is (928) 367-4040.
- Is Richard Donnelly's NPI active?
- Yes — Richard Donnelly's NPI (1396729455) is active in the NPPES registry as of the last update on 2011-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.