MEDICARE: WILLIAM R POLHAMUS P.A.

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	363AS0400X	Surgical Physician Assistant	0110001563	VA
2	363A00000X	Physician Assistant	0110001563	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
16	P00011038	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0536798	OTHER	VA	AETNA HMO
2	287174	OTHER	VA	SOUTHERN HEALTH
3	540885859	OTHER	VA	CIGNA
4	540885859	OTHER	VA	CORVEL
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	540885859	OTHER	VA	C&O EMPLOYEE'S HEALTHCARE
7	540885859	OTHER	VA	FIRST HEALTH/CCN
8	0900325	OTHER	VA	UNITED HEALTHCARE
9	31213	OTHER	VA	SH CARENET
10	540885859	OTHER	VA	MULTIPLAN
11	100679	OTHER	VA	ANTHEM HEALTHKEEPERS
12	540885859	OTHER	VA	PRIVATE HEALTHCARE SYSTEM
13	540885859	OTHER	VA	FOCUS
14	540885859	OTHER	VA	COMPMANAGEMENT
15	540885859	OTHER	VA	VIRGINIA HEALTH NETWORK

General Provider Information

NPI Number	:	1629011226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM R POLHAMUS P.A.

Provider Business Mailing Address
First Line	:	1115 BOULDERS PKWY
Second Line	:	SUITE 200
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23225-4067
Country	:	US
Telephone Number	:	804-560-5595
Fax Number	:	804-560-9029

Provider Business Practice Location Address
First Line	:	13710 ST FRANCIS BLVD
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23114-3267
Country	:	US
Telephone Number	:	804-594-7300
Fax Number	:

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

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	09/08/2025

Similar Medicare Providers

1669461356 — ANDREA L ARCHER DO
Practice Location Address:

13710 ST FRANCIS BLVD
MIDLOTHIAN, VA
23114-3267

Practice Phone: 804-594-7950
Practice Fax: 804-594-7955

1982688818 — VIRGINIA BREAST CENTER INC
Practice Location Address:

13700 SAINT FRANCIS BLVD , STE 510
MIDLOTHIAN, VA
23114-3267

Practice Phone: 804-594-3130
Practice Fax: 804-594-3130

1447212592 — BON SECOURS ST FRANCIS MEDICAL CENTER LLC
Practice Location Address:

13710 ST FRANCIS BLVD
MIDLOTHIAN, VA
23114-3267

Practice Phone: 804-594-7400
Practice Fax: 804-594-7410

1346207024 — PRIMEDOC ST.FRANCIS PC
Practice Location Address:

13710 SAINT FRANCIS BLVD
MIDLOTHIAN, VA
23114-3267

Practice Phone: 843-237-3378
Practice Fax: 843-237-5073

1881631943 — SHELTERING ARMS HOSPITAL SOUTH, INC.
Practice Location Address:

13700 SAINT FRANCIS BLVD
MIDLOTHIAN, VA
23114-3267

Practice Phone: 804-342-4358
Practice Fax: 804-342-4316

1629015094 — DR. PAUL GEORGE KIRITSIS M.D.
Practice Location Address:

13700 SAINT FRANCIS BLVD , SUITE 103
MIDLOTHIAN, VA
23114-3267

Practice Phone: 804-379-2414
Practice Fax: 804-379-2413

Directions to “ WILLIAM R POLHAMUS P.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.