BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC (NPI# 1174164578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174164578 |
| Entity Type | Organization |
| Organization Name | BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC |
| Other Organization Name | BON SECOURS ANESTHESIOLOGY GROUP |
| Practice Address |
3640 High St Ste 1f Portsmouth VA 23707-3213 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 7572153565 |
| Practice Fax Number | 7573978026 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Authorized Official Name | STEPHEN JONES (VP OPERATIONS) |
| Authorized Official Telephone | 7572152713 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BON SECOURS ANESTHESIOLOGY GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114542453 | Bon Secours Medical Group Hampton Roads Specialty Care LLC | Orthopaedic Surgery | 6 Doctors Dr, Emporia, VA 23847-1240 | 2020-06-12 |
| 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 |
3640 HIGH ST STE 1F |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23707-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
| 1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
| 1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
| 1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
| 1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
| 1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
| 1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
| 1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
| 1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
| 1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
| Find all providers in zip 23707 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740250844 | Richard P Serianni | Anesthesiology | John Paul Jones Circle, Portsmouth, VA 23708-0001 | 2006-01-23 |
| 1396715413 | Nolan Charles Babcock | Anesthesiology | Dept. Anesthesiology, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2006-01-23 |
| 1831179084 | Mark R. Fantauzzi | Anesthesiology | 1219 Findlay St, Portsmouth, OH 45662-3449 | 2006-01-21 |
| 1093792814 | David L Kay | Anesthesiology | 3200 Tyre Neck Rd Ste 101, Portsmouth, VA 23703 | 2005-12-22 |
| 1457347791 | Katrina Brown Briggs | Anesthesiology | 1901 Argonne Rd, Portsmouth, OH 45662-2827 | 2005-09-22 |
| 1306847710 | Andrew Joseph Kulesza | Anesthesiology | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2005-08-09 |
| 1275999856 | Jason Kopp | Anesthesiology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2016-01-12 |
| 1255750527 | Anthony Steven Bradley Jr. | Anesthesiology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2014-04-15 |
| 1598182693 | Gregory Booth | Anesthesiology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2014-03-26 |
| 1437597697 | American Pain Institute LLC | Anesthesiology | 14 Manchester Sq, Suite 290, Portsmouth, NH 03801-8001 | 2013-06-10 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23707 |
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.