Dr. Edmond P Wickham III, M.D.
Pediatrics, Pediatric Endocrinology in Richmond, VA. Individual provider (NPI-1).
NPI number1477566545
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1477566545
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edmond P Wickham III
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ENDOCRINOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0205X | Pediatrics, Pediatric Endocrinology | 0101234906 | VA | Yes |
Practice location
1250 E Marshall StPediatrics
Richmond, VA 23298-5051
Phone 804-828-9696 · Fax 804-828-8389
Mailing address
Po Box 91734Richmond, VA 23291-1734
Phone 804-358-6100 · Fax 804-342-7619
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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