Provider Demographics
NPI:1194711796
Name:HEMPHILL, EDWARD S (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:S
Last Name:HEMPHILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 CROSSING LN STE 2
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-3778
Mailing Address - Country:US
Mailing Address - Phone:540-463-2103
Mailing Address - Fax:540-463-2904
Practice Address - Street 1:25 CROSSING LN
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-3778
Practice Address - Country:US
Practice Address - Phone:540-463-2103
Practice Address - Fax:540-463-2904
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101052745207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1194711796OtherANTHEM
VA1194711796OtherVIRGINIA HEALTH NETWORK
VA1194711796OtherSOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
VA1194711796Medicaid
VA1194711796OtherAETNA
VA1194711796OtherHEALTHKEEPERS PLUS
VA1194711796OtherGATEWAY
VA1194711796OtherOPTIMA HEALTH PLAN
VAP01276771OtherRAILROAD MEDICARE
VA1194711796OtherUNITED HEALTHCARE
VA1194711796OtherHUMANA MEDICARE
VA1194711796OtherUMWA
VA541586601186OtherTRICARE
VA1194711796OtherVIRGINIA PREMIER
VA1194711796OtherHEALTHKEEPERS
VA1194711796OtherMAJESTACARE
VA1194711796OtherCIGNA
VA1194711796OtherINTOTAL
VA1194711796Medicaid
VAVVA814AMedicare PIN