Edwin Wortham V, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101047478 Issued in VA

Practice address

8720 Stony Point Pkwy Ste 135
Richmond, VA 23235-0017

Phone

(804) 272-8040

Fax

(804) 272-7344

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Virginia Pediatric Ophthalmology Specialists, LLC

  • Specialist
  • Richmond, VA
  • NPI 1780961086
  Medicare reassignment NPD

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1811946668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 STONY POINT PKWY",
            "address_2": "STE 135",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232350017",
            "telephone_number": "804-272-8040",
            "fax_number": "804-272-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 STONY POINT PKWY STE 135",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232350017",
            "telephone_number": "804-272-8040",
            "fax_number": "804-272-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHAM V",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "VA",
            "license": "0101047478",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101047478",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101047478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Parker Worley
• Isaac Leake Wornom III
• Eric Francis Worrall, D.O.
• Laura M Worrel, MD
• Hunter Worsham, LPC
• Elizabeth McManus Wortham, DPT
• Pakisha Wortham, LCSW
• Andrew Keith Worthington, M.D.
• Janette L Worthington, MD
• Margaret Wovkulich, PHARM.D.

• Specialist in Richmond, VA
• Providers in Richmond, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.