Provider Demographics
NPI:1295823672
Name:HILL, RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:HILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2117 SMITH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2519
Mailing Address - Country:US
Mailing Address - Phone:757-547-9007
Mailing Address - Fax:757-962-5799
Practice Address - Street 1:2117 SMITH AVE STE B
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2519
Practice Address - Country:US
Practice Address - Phone:757-547-9007
Practice Address - Fax:757-962-5799
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010588252084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA116158OtherANTHEM
VA672033OtherMAMSI
VA010062659Medicaid
VAO83394OtherSENTARA MENTAL HEALTH
VA672033OtherMAMSI
VAO83394OtherSENTARA MENTAL HEALTH