Provider Demographics
NPI:1780694760
Name:NORDT, WILLIAM ERNEST III (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ERNEST
Last Name:NORDT
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1115 BOULDERS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4067
Mailing Address - Country:US
Mailing Address - Phone:804-560-5595
Mailing Address - Fax:804-560-9029
Practice Address - Street 1:7650 E PARHAM RD
Practice Address - Street 2:SUITE 100
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4373
Practice Address - Country:US
Practice Address - Phone:804-288-3136
Practice Address - Fax:804-288-4538
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2020-09-15
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Provider Licenses
StateLicense IDTaxonomies
VA0101044839207X00000X
VA101044839207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA200008448OtherRAILROAD MEDICARE
VA540885859OtherFIRST HEALTH/CCN
VA540885859OtherPRIVATE HEALTHCARE SYSTEM
VA065456OtherANTHEM HEALTHKEEPERS
VA540885859OtherFOCUS
VA006420109Medicaid
VA0900309OtherUNITED HEALTHCARE
VA540885859OtherCORVEL
VA0539484OtherAETNA HMO
VA2138291OtherUNITED HEALTHCARE MAMSI
VA386538OtherANTHEM WEST END OPERATORY
VA540885859OtherC&O EMPLOYEE'S HEALTHCARE
VA540885859OtherCOMPMANAGEMENT
VA1780694760Medicaid
VA540885859OtherCIGNA
VA11426OtherOPTIMA HEALTH
VA285563OtherSOUTHERN HEALTH
VA31572OtherSH CARENET
VA540885859OtherFIRST HEALTH/CCN
VA2138291OtherUNITED HEALTHCARE MAMSI
VA540885859OtherC&O EMPLOYEE'S HEALTHCARE