Individual provider Active NPI

William Cole Hawthorne

  • Pediatrics Physician
  • Richmond, VA
National Provider Identifier
1407383755
Registry record updated Nov 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0102206052 Issued in VA
Practice address
10410 Ridgefield Pkwy Ste 100
Richmond, VA 23233-3500
Phone
(804) 754-3776
NPI assigned
May 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0102206052 VA Primary

Addresses

Primary practice location

10410 Ridgefield Pkwy Ste 100
Richmond, VA 23233-3500

Mailing address

7000 Patterson Ave
Richmond, VA 23226-3629
Phone (804) 282-9706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170804001362 VA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5092086397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102206052VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Overton, Wiley, Kirchmier, Terry, & Rowe, P.C. PastSince Dec 1, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732406400000",
    "number": "1407383755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263629",
            "telephone_number": "804-282-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 RIDGEFIELD PKWY STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232333500",
            "telephone_number": "804-754-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "WILLIAM",
        "middle_name": "COLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102206052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.