DR. EDMOND P WICKHAM III


Address: 1250 E Marshall St, Pediatrics, Richmond, VA 23298-5051
Phone: 8048289696

DR. EDMOND P WICKHAM III (NPI# 1477566545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477566545
Entity Type Individual
Full Name DR. EDMOND P WICKHAM III
Credential M.D.
Practice Address 1250 E Marshall St
Pediatrics
Richmond
VA 23298-5051
Mailing Address Po Box 91734
Richmond
VA 23291-1734
Practice Telephone 8048289696
Practice Fax Number 8048288389
Mailing Telephone 8043586100
Mailing Fax Number 8043427619
Enumeration Date 2006-08-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
0101234906 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 1250 E MARSHALL ST
PEDIATRICS
City RICHMOND
State VA
Zip Code 23298-5051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265436158 Elizabeth A Huntoon Physical Medicine & Rehabilitation 1250 E Marshall St, Physical Medicine and Rehab, Richmond, VA 23298-5051 2005-06-08
1700485943 Jayme Holmes Kunkel Nurse Practitioner 1250 E Marshall St, Richmond, VA 23298-5023 2020-10-20
1508463068 Benjamin Brickman Holt Nurse Practitioner 1250 E Marshall St, Richmond, VA 23298-5023 2020-10-07
1780298620 Tara Lynne Taylor Nurse Practitioner 1250 E Marshall St, Richmond, VA 23298-5023 2020-09-08
1770197956 Imane Chedid Emergency Medicine 1250 E Marshall St, Richmond, VA 23298-5023 2020-09-03
1659982338 Randi Thompson Nurse Practitioner 1250 E Marshall St, Richmond, VA 23298-5023 2020-08-14
1619585684 Chelsea Elise Snead Nurse Practitioner 1250 E Marshall St, Richmond, VA 23298-5023 2020-07-16
1285258095 Trevor Harrison Nordin Student in an Organized Health Care Education/Training Program 1250 E Marshall St, Richmond, VA 23298-5051 2020-06-08
1912521972 Ashton Jordan Engdahl Student in an Organized Health Care Education/Training Program 1250 E Marshall St, Richmond, VA 23298-5051 2020-06-04
1538783048 Ann Forrest Student in an Organized Health Care Education/Training Program 1250 E Marshall St, Richmond, VA 23298-5051 2020-05-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730703604 Russell Wayne Dowell Student in an Organized Health Care Education/Training Program Vcuhs Dept of Em Residency/fellowship, 1250 E. Marshall Street, Richmond, VA 23298 2020-06-05
1215551262 Anna Leigh Cline Student in an Organized Health Care Education/Training Program Vcuhs Department of Emergency Medicine, 980401, 1250 E Marshall Street, Richmond, VA 23298 2020-06-05
1598389629 Annabel Eujung Baek Student in an Organized Health Care Education/Training Program Vcuhs Dept of Plastic Surgery Residency, 980154, 1250 E. Marshall Street, Richmond, VA 23298 2020-06-04
1235752957 Valerie Tammy Tran Student in an Organized Health Care Education/Training Program Internal Medicine Residency, 980509, 1250 E Marshall St, Richmond, VA 23298 2020-05-28
1386267193 Michael Terribile Student in an Organized Health Care Education/Training Program Vcuhs Department of Pediatrics Residency, 980163, Richmond, VA 23298 2020-05-27
1417585449 Ryan Louis Naum Student in an Organized Health Care Education/Training Program Vcuhs Dept. of Neurology Residency, #980599, 1250 E. Marshall Street, Richmond, VA 23298 2020-03-27
1477102531 Shanon Fitzpatrick Beam Nurse Practitioner Vcu Medical Center, 1250 East Marshall Street, Richmond, VA 23298 2019-09-10
1922666924 Sumerth Kumar Pathak Student in an Organized Health Care Education/Training Program Vcuhs Dept of Psychiatry, 980710, 1250 E. Marshall Street, Richmond, VA 23298 2019-06-04
1467010595 Christopher Bednarz Student in an Organized Health Care Education/Training Program Vcuhs Dept of Surgery Residency, 980118, 1250 E. Marshall Street, Richmond, VA 23298 2019-06-04
1629636782 Nicholet Mitchell Student in an Organized Health Care Education/Training Program Vcuhs Dept of Em Residency/fellowship, 980401, 1250 E. Marshall Street, Richmond, VA 23298 2019-06-04
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Taxonomy Information

Taxonomy Code 2080P0205X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Endocrinology

Taxonomy Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740337690 Bryce Allen Nelson Pediatrics 2305 N Parham Rd Ste 1, Richmond, VA 23229-3156 2007-01-04
1568427565 Craig Rudlin Pediatrics 4600 Grove Ave, Richmond, VA 23226-1301 2006-04-20
1902246481 Ladan Davallow Ghajar Pediatrics 2305 N Parham Rd Ste 1, Richmond, VA 23229-3156 2013-06-28
1780832980 Arti P. Shah Pediatrics 2305 N Parham Rd Ste 1, Richmond, VA 23229-3156 2008-09-03
1710147988 Elna Binu Kochummen Pediatrics 5875 Bremo Rd, Richmond, VA 23226-1934 2008-06-11
1427244490 Jessica Jane Radcliffe Pediatrics 5855 Bremo Rd, Suite 102, Richmond, VA 23226-1930 2007-09-24
1467656066 Anshu Gupta Pediatrics 1250 E Marshall St, Pediatrics, Richmond, VA 23298-5051 2007-06-14
1861571762 Mary F. Witt Pediatrics 2221 Edward Holland Dr, Richmond, VA 23230-2518 2006-11-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720475296 Hussein Elmufti Pediatrics 102 Highland Ave Se Ste 455, Roanoke, VA 24013 2015-04-22
1902171093 Nicole Lynn Nejedly Pediatrics 601 Childrens Ln, Norfolk, VA 23507-1910 2012-03-21
1013217207 Mary Elizabeth Watson Pediatrics 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Dept. of Pediatrics, Portsmouth, VA 23708-2197 2010-10-22
1699092296 Kelly A. Mason Pediatrics 1204 W Main St, Charlottesville, VA 22908-2824 2010-04-23
1326363110 Melissa J. Schoelwer Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2010-04-05
1023332947 Lindsey Waldman Pediatrics 3023 Hamaker Ct, Fairfax, VA 22031-2207 2010-03-22
1447491824 Shadi Tabba Pediatrics 171 Elden St, Suite 2c4, Herndon, VA 20170-4875 2009-03-16
1306000997 Christine M. Burt Solorzano Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2008-07-14
1871755348 Otilia Neacsu Pediatrics 8505 Arlington Blvd, Suite 100, Fairfax, VA 22031-4621 2008-06-26
1790959625 Melissa L Russell Pediatrics 601 Childrens Ln, Norfolk, VA 23507-1910 2008-04-22
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Competitor

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City RICHMOND
Zip Code 23298

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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