Richard E. Donnelly, P.A.-C.
Surgical Physician Assistant · Lakeside, AZ
Richard E. Donnelly, P.A.-C. is a surgical physician assistant with a practice address in Lakeside, Arizona, and NPI 1396729455, issued on Dec 2, 2005. Check the license (Arizona 1105, as entered in NPPES) with the Arizona board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Richard E. Donnelly
- Credential
- P.A.-C.
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License numbers
- 1105 AZ
10186 MN
Self-reported in NPPES; status is on the state search - Practice location
- 43 W. White Mountain Blvd, Lakeside, AZ 85929
- Phone
- (928) 367-4040
- Enumerated
- Dec 2, 2005
- Record last updated
- Feb 16, 2011 (not updated in 15 years: call before relying on the address or phone)
- Fax
- (928) 367-4042
- Medicaid IDs
- 558930400 MN
342254 AZ - Entity
- Type 1 · individual
Verify Richard E. Donnelly in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Arizona board licenses this profession
Search for license 1105Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
1 surgical physician assistant records list a practice address in Lakeside
They are 1 of the 79 NPPES records with a practice address in Lakeside, and 420 surgical physician assistant records in Arizona. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other surgical physician assistant records in Arizona
- Christopher Adams, PATucson, AZ1699182394
- Franchesca Alexander, P.A.-CMesa, AZ1174995245
- Roberto Alexander, PAScottsdale, AZ1003878125
- Regan Alford, PACPhoenix, AZ1578965067
- Aaron Allen, MD, SA-CGilbert, AZ1194785535
- Brian Allshouse, PA-CPrescott, AZ1801823372
- Alfredo Altamirano, P.A. - C, MPASTucson, AZ1699876862
- Lucas Andersen, MMS,PA-CPhoenix, AZ1538839907
- Jamie Anderson, PA-CGilbert, AZ1154896058
- Lauren Anderson, PAMesa, AZ1205676277
Common questions
What is Richard E. Donnelly, P.A.-C.'s NPI number?
Richard E. Donnelly, P.A.-C.'s National Provider Identifier (NPI) is 1396729455, issued on Dec 2, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Richard E. Donnelly, P.A.-C. located?
The NPPES record lists a practice address at 43 W. White Mountain Blvd, Lakeside, AZ, 85929. Phone: (928) 367-4040. Providers update this record themselves, so call before visiting.
How can I verify Richard E. Donnelly, P.A.-C.'s license?
NPPES lists Arizona license number 1105, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.