Provider Demographics
NPI:1194741934
Name:HAMRICK, RICHARD M III (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:M
Last Name:HAMRICK
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1000 BOULDERS PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-5545
Mailing Address - Country:US
Mailing Address - Phone:804-282-1366
Mailing Address - Fax:804-282-1486
Practice Address - Street 1:1603 SANTA ROSA RD
Practice Address - Street 2:SUITE 101
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-5010
Practice Address - Country:US
Practice Address - Phone:804-288-2711
Practice Address - Fax:804-673-6610
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101038832207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006895400OtherBLACK LUNG PROVIDER NUMBE
VA59283OtherSOUTHERN HEALTH
VA188466OtherANTHEM PROVIDER NUMBER
VA188466OtherANTHEM HEALTHKEEPERS
VA736153OtherMAMSI PROVIDER NUMBER
VA021793OtherCIGNA PROVIDER NUMBER
VA290003784OtherMEDICARE RAILROAD
VA4800161OtherUNITED HEALTHCARE
VA006000622Medicaid
VA31064OtherCARENET PROVIDER NUMBER
VA557515OtherAETNA HMO
VA290003784OtherMEDICARE RAILROAD
VA188466OtherANTHEM PROVIDER NUMBER