Provider Demographics
NPI:1194835777
Name:FLEMING, WILLIAM K (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:K
Last Name:FLEMING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113
Mailing Address - Country:US
Mailing Address - Phone:804-378-5010
Mailing Address - Fax:804-378-3264
Practice Address - Street 1:110 N ROBINSON ST
Practice Address - Street 2:STE 307
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-4459
Practice Address - Country:US
Practice Address - Phone:804-225-8000
Practice Address - Fax:804-225-0962
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA35748207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006413277Medicaid
VA094032OtherANTHEM BS
VA094032OtherANTHEM BS
C36522Medicare UPIN