Richard B. Hathaway, PAC
Physician Assistant · Blaine, MN
Richard B. Hathaway, PAC is a physician assistant with a practice address in Blaine, Minnesota, and NPI 1710961966, issued on Dec 1, 2005. Check the license (Minnesota 9199, as entered in NPPES) with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Richard B. Hathaway
- Credential
- PAC
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 9199 MN
Self-reported in NPPES; status is on the state search - Practice location
- 12175 Aberdeen St NE, Blaine, MN 55449
- Phone
- (763) 785-4200
- Enumerated
- Dec 1, 2005
- Record last updated
- Jul 13, 2026
- Fax
- (763) 785-3314
- Entity
- Type 1 · individual
Also registered at 12175 Aberdeen St NE
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Timothy Regan, MDFamily Medicine Physician1467436618
- Carol Sarpal, MDFamily Medicine Physician1215911466
- William Sievert, MDFamily Medicine Physician1083698666
- John Stoulil, PACPhysician Assistant1104800358
- Suzanne Teragawa, MDFamily Medicine Physician1558345157
Verify Richard B. Hathaway in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 9199Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
25 physician assistant records list a practice address in Blaine
They are 25 of the 649 NPPES records with a practice address in Blaine, and 4,007 physician assistant records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 25 in Blaine → All 4,007 in Minnesota → Every provider in Blaine →
Other physician assistant records in Minnesota
- Ramona Aaseby-Aguilera, PA-CMinneapolis, MN1407896269
- Aimee Abben, PA-CSaint Paul, MN1881824258
- Deqa Abdi, PA-CRochester, MN1396416970
- Najma Abdi, PA-CMinneapolis, MN1255064242
- Kelsey Abraham, PA-CCambridge, MN1427666320
- Susan AbrahamSaint Paul, MN1801344072
- Tess Abrahamson, PA-CMinneapolis, MN1205334828
- Alexia Abric, PA-CRochester, MN1962156885
- Kholood Abuhadid, PA-CRochester, MN1629739313
- Stephanie Adamek, PA-CMinneapolis, MN1104247030
Common questions
What is Richard B. Hathaway, PAC's NPI number?
Richard B. Hathaway, PAC's National Provider Identifier (NPI) is 1710961966, issued on Dec 1, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Richard B. Hathaway, PAC located?
The NPPES record lists a practice address at 12175 Aberdeen St NE, Blaine, MN, 55449. Phone: (763) 785-4200. Providers update this record themselves, so call before visiting.
How can I verify Richard B. Hathaway, PAC's license?
NPPES lists Minnesota license number 9199, as entered by the provider. Search the Minnesota 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.