IndividualActive
Patrick Ketchersid, PA-C
NPI 1629577267 · Surgical Physician Assistant · Richmond, VA
Provider details
- NPI number
- 1629577267
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 0110006066 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
417 N 11th St
Richmond, VA 23298-5002
Phone: (804) 828-7748
Fax: (804) 827-0285
Street-level locationGet directions
Mailing address
Po Box 91734
Richmond, VA 23291-1734
Additional practice locations (1)
- 1250 E Marshall StRichmond, VA 23298-5051Phone: (804) 828-7748Fax: (804) 827-0285
Registry dates
- Enumerated
- 2018-02-09
- Last updated
- 2019-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.