BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC (NPI# 1023633369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023633369 |
| Entity Type | Organization |
| Organization Name | BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC |
| Practice Address |
3920 Bridge Rd Ste 305 Suffolk VA 23435-1107 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 7575627301 |
| Practice Fax Number | 7575627305 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | WILBUR GAY (CFO) |
| Authorized Official Telephone | 8642551904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| SOUTHAMPTON ORTHOPAEDIC AND SPORTS MEDICINE CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174164578 | Bon Secours Medical Group Hampton Roads Specialty Care LLC | Anesthesiology | 3640 High St Ste 1f, Portsmouth, VA 23707-3213 | 2019-10-07 |
| 1114542453 | Bon Secours Medical Group Hampton Roads Specialty Care LLC | Orthopaedic Surgery | 6 Doctors Dr, Emporia, VA 23847-1240 | 2020-06-12 |
| 1932724275 | Bon Secours Medical Group Hampton Roads Specialty Care LLC | Orthopaedic Surgery | 2790 Godwin Blvd Ste 320, Suffolk, VA 23434-8174 | 2020-06-12 |
| 1205451028 | Bon Secours Medical Group Hampton Roads Specialty Care LLC | Orthopaedic Surgery | 210 Fairview Dr Ste A, Franklin, VA 23851-1216 | 2020-06-09 |
| 1629637475 | Bon Secours Medical Group Hampton Roads Specialty Care LLC | Internal Medicine | 8580 Magellan Pkwy, Richmond, VA 23227-1149 | 2019-06-06 |
| Street Address |
3920 BRIDGE RD STE 305 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891287611 | Franklin Clinic Corp | Family Medicine | 3920 Bridge Rd Ste 305, Suffolk, VA 23435-1107 | 2018-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659897213 | Everett Service Provider Multi Medical Group | Durable Medical Equipment & Medical Supplies | 7296 Quaker Dr, Suffolk, VA 23437-8903 | 2017-08-16 |
| 1043733785 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2775 Godwin Blvd, Suffolk, VA 23434-8037 | 2017-07-25 |
| 1528420130 | Rite Aid of Virginia Inc | Durable Medical Equipment & Medical Supplies | 6150 College Drive, Suffolk, VA 23435-1234 | 2016-03-23 |
| 1588061741 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 118 W Constance, Suffolk, VA 23434 | 2014-12-03 |
| 1376944157 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1017 University Blvd, Suffolk, VA 23435-0048 | 2014-09-11 |
| 1568668549 | Digitrace Care Services, Inc. | Durable Medical Equipment & Medical Supplies | 154 Burnetts Way, Suffolk, VA 23434-8366 | 2007-06-26 |
| 1487783825 | Urology of Va PC | Durable Medical Equipment & Medical Supplies | 2790 Godwin Blvd Ste 225, Suffolk, VA 23434-8155 | 2007-03-03 |
| 1104907922 | Suffolk Home Medical | Durable Medical Equipment & Medical Supplies | 815 W Constance Rd, Suffolk, VA 23434-5649 | 2006-10-18 |
| 1720174675 | The Shoe Fits At 1 Foot 2 Foot LLC | Durable Medical Equipment & Medical Supplies | 173 N Main St, Suffolk, VA 23434-4507 | 2006-10-05 |
| 1558462242 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 1405 North Main Street, Suffolk, VA 23434-4352 | 2006-09-26 |
| Find all providers in SUFFOLK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.