BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC (NPI# 1144529207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144529207 |
| Entity Type | Organization |
| Organization Name | BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC |
| Other Organization Name | BON SECOURS BEHAVIORAL HEALTH GROUP |
| Practice Address |
1510 N 28th St Mob, Suite 101 Richmond VA 23223-5311 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 8043711670 |
| Practice Fax Number | 8043711671 |
| Mailing Telephone | 8046275462 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | STEPHAN QUIRICONI (CFO) |
| Authorized Official Telephone | 8042818301 |
| Is Organization Subpart | Y |
| Parent Organization Name | BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | GROUP PTAN | C06115 | 01 |
| Other Name | Type Code |
|---|---|
| Bon Secours Behavioral Health Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437717592 | Bon Secours Memorial Regional Medical Center Inc | Orthopaedic Surgery | 8266 Atlee Rd Ste 225, Mechanicsville, VA 23116-1813 | 2019-06-04 |
| 1265951818 | Bon Secours Memorial Regional Medical Center Inc | Obstetrics & Gynecology | 1510 N 28th St Ste 305, Richmond, VA 23223-5311 | 2017-09-14 |
| 1376897827 | Bon Secours Memorial Regional Medical Center Inc | Psychologist | 8220 Meadowbridge Rd Ste 313, Mechanicsville, VA 23116-2340 | 2012-11-06 |
| 1306193347 | Bon Secours Memorial Regional Medical Center Inc | Psychiatry & Neurology | 8266 Atlee Rd Ste 330, Mechanicsville, VA 23116-1812 | 2012-08-09 |
| 1366475642 | Bon Secours Memorial Regional Medical Center Inc | Family Medicine | 306 Ashcake Rd Ste C, Ashland, VA 23005-2323 | 2006-07-09 |
| 1174556658 | Bon Secours Memorial Regional Medical Center Inc | Pediatrics | 7347 Bell Creek Rd Ste 100, Mechanicsville, VA 23111-3504 | 2006-07-08 |
| 1033577663 | Bon Secours Memorial Regional Medical Center Inc | Internal Medicine | 7041 Lee Park Rd, Mechanicsville, VA 23111-3682 | 2016-02-10 |
| 1679957948 | Bon Secours Memorial Regional Medical Center Inc | Family Medicine | 8200 Meadowbridge Rd Ste 301, Mechanicsville, VA 23116-2337 | 2015-07-16 |
| 1245514017 | Bon Secours Memorial Regional Medical Center Inc | Clinic/Center | 8237 Meadowbridge Rd, Mechanicsville, VA 23116-2329 | 2011-09-28 |
| 1740585207 | Bon Secours Memorial Regional Medical Center Inc | Pediatrics | 9113 Dickey Dr, Mechanicsville, VA 23116-2502 | 2011-01-14 |
| Street Address |
1510 N 28TH ST MOB, SUITE 101 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23223-5311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336132216 | James Edward Frazier II | Pharmacist | 1510 N 28th St, Suite 100, Richmond, VA 23223-5332 | 2005-08-26 |
| 1174909733 | Renu Sadanandan | Nurse Practitioner | 1510 N 28th St, Suite 101, Richmond, VA 23223-5311 | 2015-08-06 |
| 1699176115 | Ife I Torrence | Nurse Practitioner | 1510 N 28th St, Suite 308, Richmond, VA 23223-5311 | 2014-09-16 |
| 1851703300 | Valerie South | Nurse Practitioner | 1510 N 28th St, Suite 305, Richmond, VA 23223-5311 | 2014-06-02 |
| 1730516634 | Bon Secours Virginia Medical Group I, LLC | Obstetrics & Gynecology | 1510 N 28th St, Suite 305, Richmond, VA 23223-5311 | 2013-10-09 |
| 1457788358 | Bon Secours Virginia Medical Group I, LLC | Psychologist | 1510 N 28th St, Suite 101, Richmond, VA 23223-5311 | 2013-10-09 |
| 1780029538 | Rebecca Elaine Sherard | Social Worker | 1510 N 28th St, Suite 101, Richmond, VA 23223-5311 | 2013-05-07 |
| 1912209149 | Bon Secours Memorial Regional Medical Center Inc | Obstetrics & Gynecology | 1510 N 28th St, Suite 305, Richmond, VA 23223-5311 | 2010-11-19 |
| 1346569456 | Stephen John Popovich | Internal Medicine | 1510 N 28th St, Suite 308, Richmond, VA 23223-5311 | 2010-05-28 |
| 1063673390 | Bon Secours-virginia Healthsource, Inc. | Internal Medicine | 1510 N 28th St, Suite 204, Richmond, VA 23223 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291953 | Hope Pharmacy, Inc. | Pharmacy | 1330 N. 25th Street, Richmond, VA 23223 | 2019-02-18 |
| 1063918019 | Terri Ann Russell | Social Worker | Henrico County Public Schools, 3820 Nine Mile Rd., Henrico, VA 23223 | 2018-03-30 |
| 1871092171 | Sharon H. Joyner | Non-emergency Medical Transport (VAN) | 3217 Arthurwood Pl, Richmond, VA 23223 | 2018-02-02 |
| 1497275309 | Jennifer Lynn Dent | Physical Therapist | 10 S 20th Street, Unit U408, Richmond, VA 23223 | 2017-06-21 |
| 1568982551 | Andrea Sledd | Social Worker | 200 N. 22nd Street, Richmond, VA 23223 | 2017-06-21 |
| 1528597903 | Ashley Telisa Battle | Physical Therapy Assistant | 12100 Chancellors Village Lane, Fredericksburg, VI 23223 | 2017-06-08 |
| 1811436199 | Dedric Lee Sr. | Home Health Aide | 527 N Laburnum Ave Apt 2, Richmond, VA 23223 | 2017-02-20 |
| 1619424181 | Brighter Prospective Residential Services, LLC | Transportation Broker | 2509 Tonoka Road, Henrico, VA 23223 | 2016-09-01 |
| 1629425277 | Spread Your Wings | Non-emergency Medical Transport (VAN) | 709 Hallwood Farms Dr., Richmond, VA 23223 | 2016-05-24 |
| 1396120010 | Robert Reaves Griffin IIi | Pharmacist | 3601 Mechanicsville Turnpike, Richmond, VA 23223 | 2015-07-23 |
| Find all providers in zip 23223 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720621303 | Christopher Fa De Chang | Psychiatry & Neurology | 1547 Santa Clara St, Richmond, CA 94804-5036 | 2019-10-25 |
| 1710537295 | Gray Md Psychiatry, LLC | Psychiatry & Neurology | 5318 Patterson Ave Ste E, Richmond, VA 23226-2044 | 2019-09-16 |
| 1225510837 | Westpark Springs Physicians Group, LLC | Psychiatry & Neurology | Westpark Springs Physicians Group, LLC, 6902 South Peek Road Richmond, Richmond, TX 77407-1741 | 2018-08-30 |
| 1053766824 | Marian Coleman | Psychiatry & Neurology | 5725 Thorndale Ln, Richmond, VA 23225-2811 | 2016-04-29 |
| 1871826610 | Elizabeth Jane Moore | Psychiatry & Neurology | 410 North 10th Street, Richmond, IN 47374-3116 | 2009-09-11 |
| 1801064670 | Sherman Master | Psychiatry & Neurology | 5700 Grace St, Suite 108, Richmond, VA 23226 | 2008-02-14 |
| 1578755070 | Roger G Joe | Psychiatry & Neurology | 301 S 9th St Ste 118, Richmond, TX 77469-3448 | 2007-08-17 |
| 1245437854 | Padma Kala | Psychiatry & Neurology | Hunter Holmes Mcguire Medical Ctr, 1201 Broad Rock Boulevard, Richmond, VA 23249-0001 | 2007-06-27 |
| 1205039740 | Christine Parker Baker | Psychiatry & Neurology | Mcguire Vamc Mental Health 116, 1201 Broad Rock Boulevard, Richmond, VA 23249-0001 | 2007-06-11 |
| 1841409588 | Shama Begum Saiyed | Psychiatry & Neurology | 4914 Radford Ave Ste 303, Richmond, VA 23230-3536 | 2007-05-21 |
| Find all providers in RICHMOND | ||||
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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.