Organization Active NPI

Wickham Titus Hendrix and Turner PTRS

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1417980343
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101020690 Issued in VA
Legal business name
WICKHAM TITUS HENDRIX AND TURNER PTRS
Doing business as
DRS TITUS HENDRIX TURNER PAHLE AND CHRISTENSEN
Practice address
2201 Grove Ave
Richmond, VA 23220-4438
Phone
(804) 359-1351
Fax
(804) 355-6625
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Ms. Tonya Linn Keith
Title
Office Manager
Phone
(804) 359-1351

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 0101049091 VA
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 0101020690 VA Primary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 0101047848 VA
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 0101051667 VA
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 0101056275 VA

Addresses

Primary practice location

2201 Grove Ave
Richmond, VA 23220-4438

Mailing address

2201 Grove Ave
Richmond, VA 23220-4438
Phone (804) 359-1351

Other names 1

  • DRS TITUS HENDRIX TURNER PAHLE AND CHRISTENSEN Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0226718DRS Titus Hendrix Turner Pahle and2201 Grove Avenue, Richmond, VA 23220Certificate of waiverMar 29, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1417980343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204438",
            "telephone_number": "804-359-1351",
            "fax_number": "804-355-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204438",
            "telephone_number": "804-359-1351",
            "fax_number": "804-355-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICKHAM TITUS HENDRIX AND TURNER PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "LINN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "804-359-1351",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101049091",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101020690",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101047848",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101051667",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101056275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRS TITUS HENDRIX TURNER PAHLE AND CHRISTENSEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.