MEDICARE: DR. RICHARD M HAMRICK III M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	0101038832	VA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	0101038832	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	290003784	OTHER	VA	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	006895400	OTHER	VA	BLACK LUNG PROVIDER NUMBE
2	59283	OTHER	VA	SOUTHERN HEALTH
3	188466	OTHER	VA	ANTHEM PROVIDER NUMBER
4	188466	OTHER	VA	ANTHEM HEALTHKEEPERS
5	736153	OTHER	VA	MAMSI PROVIDER NUMBER
6	021793	OTHER	VA	CIGNA PROVIDER NUMBER
8	4800161	OTHER	VA	UNITED HEALTHCARE
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	31064	OTHER	VA	CARENET PROVIDER NUMBER
11	557515	OTHER	VA	AETNA HMO

General Provider Information

NPI Number	:	1194741934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD M HAMRICK III M.D.

Provider Business Mailing Address
First Line	:	1000 BOULDERS PKWY
Second Line	:	SUITE 102
City	:	RICHMOND
State	:	VA
Zip	:	23225-5545
Country	:	US
Telephone Number	:	804-282-1366
Fax Number	:	804-282-1486

Provider Business Practice Location Address
First Line	:	1603 SANTA ROSA RD
Second Line	:	SUITE 101
City	:	RICHMOND
State	:	VA
Zip	:	23229-5010
Country	:	US
Telephone Number	:	804-288-2711
Fax Number	:	804-673-6610

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	03/31/2010

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