GLENN MICHAEL RICCIO PA-C
NPI 1366019085
Physician Assistant in Clear Brook, VA

Active since June 10, 2021
365 TYLER DR, CLEAR BROOK, VA 22624(434) 326-2164 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glenn Michael Riccio Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN MICHAEL RICCIO PA-C (NPI 1366019085) is an individual physician assistant in Clear Brook, Virginia, licensed in Virginia (0110007920) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1366019085
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGLENN MICHAEL RICCIOCredential: PA-C
Location Address365 TYLER DRClear Brook, VA 22624-1662
Mailing Address365 Tyler DrClear Brook, VA 22624-1662 · (434) 326-2164
Sole ProprietorNo
Enumeration DateJune 10, 2021
NPPES CertifiedJune 10, 2021
NPI 1366019085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110007920
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
365 TYLER DR, Clear Brook, VA 22624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Riccio's NPI number?

The NPI number for Glenn Riccio is 1366019085. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Where is Glenn Riccio located?

Glenn Riccio practices at 365 Tyler Dr, Clear Brook, VA 22624. The listed phone number is (434) 326-2164.

What is Glenn Riccio's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Glenn Riccio was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.