BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC (NPI# 1114542453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114542453 |
| Entity Type | Organization |
| Organization Name | BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC |
| Practice Address |
6 Doctors Dr Emporia VA 23847-1240 |
| 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 |
| 1023633369 | Bon Secours Medical Group Hampton Roads Specialty Care LLC | Orthopaedic Surgery | 3920 Bridge Rd Ste 305, Suffolk, VA 23435-1107 | 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 |
6 DOCTORS DR |
| City | EMPORIA |
| State | VA |
| Zip Code | 23847-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538102819 | Michael S Anderson | Family Medicine | 6 Doctors Dr, Emporia Medical Associates PC, Emporia, VA 23847-1240 | 2006-06-14 |
| 1033754049 | Kelly Vargo Byers | Nurse Practitioner | 6 Doctors Dr, Emporia, VA 23847-1240 | 2019-11-13 |
| 1265094973 | Jennifer Robinson Watson | Family Medicine | 6 Doctors Dr, Emporia, VA 23847-1240 | 2019-07-02 |
| 1841782661 | Franklin Clinic Corp | Family Medicine | 6 Doctors Dr, Emporia, VA 23847-1240 | 2018-06-06 |
| 1972058154 | A&b Pharmacy | Pharmacy | 6 Doctors Dr, Suite A, Emporia, VA 23847-1240 | 2016-08-17 |
| 1588066567 | Dominion Heart & Vascular Clinic | Internal Medicine | 6 Doctors Dr, Emporia, VA 23847-1240 | 2014-09-22 |
| 1265857676 | Varicose Veins & Vascular Clinic LLC | Phlebology | 6 Doctors Dr, Emporia, VA 23847-1240 | 2014-02-21 |
| 1952533432 | Leanne Wiley Rawlings | Nurse Practitioner | 6 Doctors Dr, Emporia, VA 23847-1240 | 2009-08-17 |
| 1528208824 | Cassandra D Storey | Physician Assistant | 6 Doctors Dr, Emporia, VA 23847-1240 | 2009-02-26 |
| 1295769891 | Elfren A Quitiquit | Surgery | 6 Doctors Dr, Emporia Medical Associates PC, Emporia, VA 23847-1240 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689454 | Laniesha Stephens Dunn | Social Worker | 407 Halifax St Ste 3, Emporia, VA 23847 | 2018-05-18 |
| 1073016382 | Audrey O Brown | Private Vehicle | 2926 Slagles Road, Emporia, VA 23847 | 2018-03-13 |
| 1598280844 | Daisy's Transportation LLC | Driver | 710 N. Main Street, Emporia, VA 23847 | 2017-08-08 |
| 1336486836 | From Start 2 Finish Counseling Services, Inc | Community/Behavioral Health | 425d South Main Street, Emporia, VA 23847 | 2013-01-03 |
| 1316245681 | William Robert Shannonhouse Jr. | Pharmacist | 220 Market Drive, Emporia, VA 23847 | 2011-03-10 |
| 1669791984 | District 19 Community Services Board | Nursing Care | 502 Sadler Dr, Emporia, VA 23847 | 2010-05-26 |
| 1740310143 | Harold J Neal, Jr. Dds, PC | Dentist | 508 Belfield Dr., Emporia, VA 23847 | 2007-03-06 |
| 1376637504 | Charles V Omick | Nurse Anesthetist, Certified Registered | 727 North Main Street, Emporia, VA 23847 | 2006-10-03 |
| 1669496030 | Prince Squire Medical Center PC | Family Medicine | 219 Weaver Avenue, Emporia, VA 23847 | 2006-07-27 |
| 1003838442 | Marcelin Medical Center | Clinic/Center | 137 Baker Sreet, Emporia, VA 23847 | 2006-07-24 |
| Find all providers in zip 23847 | ||||
| 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 |
|---|---|---|---|---|
| 1164829693 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 104 E 8th Ave Ste 100, Emporia, KS 66801-2929 | 2014-11-26 |
| 1407278112 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1215 Merchant St, Emporia, KS 66801 | 2014-01-15 |
| 1275748857 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1502 Industrial Rd, Emporia, KS 66801-6220 | 2007-05-14 |
| 1992871537 | Hill's Apothecary Inc | Durable Medical Equipment & Medical Supplies | 1509 W 12th Ave, Emporia, KS 66801-2457 | 2006-11-27 |
| 1497859169 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 306 W Atlantic St, Emporia, VA 23847-1206 | 2006-09-12 |
| 1518985100 | Newman Memorial County Hospital | Durable Medical Equipment & Medical Supplies | 1503 W 12th Ave, Emporia, KS 66801-2457 | 2006-07-18 |
| 1467479576 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 303 Market Dr, Emporia, VA 23847-1203 | 2006-07-16 |
| 1679751622 | Jeffrey W. Watson, D.p.m. | Durable Medical Equipment & Medical Supplies | 2534 W 15th Ave, Emporia, KS 66801-6102 | 2008-02-01 |
| 1760667331 | Feathers Prosthetic Service, Inc | Durable Medical Equipment & Medical Supplies | 627 Graham St, Emporia, KS 66801-5107 | 2008-01-02 |
| 1659472348 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 220 Market Drive, Emporia, VA 23847 | 2006-09-26 |
| Find all providers in EMPORIA | ||||
Please comment or provide details below to improve the information on BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC.
| 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.