BON SECOURS-VIRGINIA HEALTHSOURCE (NPI# 1285813501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285813501 |
| Entity Type | Organization |
| Organization Name | BON SECOURS-VIRGINIA HEALTHSOURCE |
| Other Organization Name | CARDIOLOGY ASSOCIATES OF CENTRAL VIRGINIA |
| Practice Address |
89 Sherwood Dr Colonial Heights VA 23834 |
| Mailing Address |
89 Sherwood Dr Colonial Heights VA 23834-1447 |
| Practice Telephone | 8045263010 |
| Practice Fax Number | 8045262293 |
| Mailing Telephone | 8045263010 |
| Mailing Fax Number | 8045262293 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2018-07-27 |
| Authorized Official Name | GEORGE O BUTLER (DIRECTOR, CORPORATE RESPONSIBILITY) |
| Authorized Official Telephone | 8042810271 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | BON SECOURS-VIRGINIA HEALTHSOURCE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101047753 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1659334373 | 05 |
| Other Name | Type Code |
|---|---|
| Cardiology Associates of Central Virginia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558379404 | Bon Secours-virginia Healthsource | Durable Medical Equipment & Medical Supplies | 8137 Staples Mill Rd, Richmond, VA 23228 | 2006-08-04 |
| 1528091808 | Bon Secours-virginia Healthsource | Family Medicine | 3311 Church Rd, Suite 100, Richmond, VA 23233 | 2006-07-09 |
| 1043243546 | Bon Secours-virginia Healthsource | Family Medicine | 4835 S Laburnum Ave, Richmond, VA 23231 | 2006-07-08 |
| 1235500281 | Bon Secours-virginia Healthsource | Internal Medicine | 7229 Forest Ave, Suite 112, Richmond, VA 23226 | 2015-10-16 |
| 1407129224 | Bon Secours-virginia Healthsource | Radiology | 7110 Forest Ave, Suite 100, Richmond, VA 23226 | 2012-02-10 |
| 1578708889 | Bon Secours-virginia Healthsource | Family Medicine | 3452 Anderson Hwy, Suite D, Powhatan, VA 23139 | 2008-12-16 |
| 1982857231 | Bon Secours-virginia Healthsource | Orthopaedic Surgery | 11601 Iron Bridge Rd, Suite 209, Chester, VA 23831 | 2008-10-30 |
| 1770730475 | Bon Secours-virginia Healthsource | Emergency Medicine | 7001 Forest Ave, Suite 103, Richmond, VA 23230 | 2008-08-25 |
| 1669638037 | Bon Secours-virginia Healthsource | Surgery | 5855 Bremo Rd, Suite 506, Richmond, VA 23226 | 2008-08-05 |
| 1073789285 | Bon Secours-virginia Healthsource | Internal Medicine | 5875 Bremo Rd, Suite G-11, Richmond, VA 23226 | 2008-05-07 |
| Street Address |
89 SHERWOOD DR |
| City | COLONIAL HEIGHTS |
| State | VA |
| Zip Code | 23834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659334373 | Ravinder Singh Kohli | Internal Medicine | 89 Sherwood Dr, Colonial Heights, VA 23834-1447 | 2006-04-12 |
| 1316046287 | Cardiology Associates of Central Virginia, PC | Specialist | 89 Sherwood Dr, Colonial Heights, VA 23834-1447 | 2006-09-21 |
| 1952317166 | Care Diabetes and Endocrinology | Internal Medicine | 89 Sherwood Dr, Colonial Heights, VA 23834-1447 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323040 | Latoya Harris | Social Worker | 3220 Loganwood Dr, South Chesterfield, VA 23834 | 2020-07-15 |
| 1619598653 | Jasmine Cutler | Nurse Practitioner | 445 Charles Dimmock Pkwy, Colonial Heights, VA 23834 | 2020-04-30 |
| 1942841275 | Stephanie Benedict | Technician | 330 King Fisher Way, Col. Heights, VA 23834 | 2019-10-08 |
| 1134628852 | Stacie J Lewis | Hearing Instrument Specialist | 320b Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2018-02-08 |
| 1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
| 1639681349 | Nicholas C Vickers | Hearing Instrument Specialist | 320 B Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2017-11-03 |
| 1962935015 | Selfless Service LLC | In Home Supportive Care | 256 E Ellerslie Ave Ste C, Colonial Heights, VA 23834 | 2017-04-05 |
| 1134594864 | Dominion Aba | Early Intervention Provider Agency | 2903 Bouleavard, Colonial Heights, VA 23834 | 2015-12-07 |
| 1558743039 | Dream Care of Va LLC | Durable Medical Equipment & Medical Supplies | 130 Temple Lake Dr Ste 4, Colonial Heights, VA 23834 | 2015-06-22 |
| 1811311343 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles Dimmock Parkway, Suite 301, Colonial Heights, VA 23834 | 2014-02-04 |
| Find all providers in zip 23834 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962046763 | Southpark Vascular Center | Internal Medicine | 445 Charles H Dimmock Pkwy Ste 101, Colonial Heights, VA 23834-2990 | 2019-11-05 |
| 1407157647 | James River Cardiology, PC | Internal Medicine | 445 Charles Dimmock Parkway, Suite 100, Colonial Heights, VA 23834 | 2010-11-04 |
| 1447490644 | Frederick George Schnatz IIi | Internal Medicine | 445 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834 | 2009-02-27 |
| 1801003157 | Mitesh S Amin | Internal Medicine | 445 Charles H Dimmock Pkwy, Suite 100, Colonial Heights, VA 23834-2970 | 2007-05-17 |
| 1548376080 | Saquib Samee | Internal Medicine | 280 Charles Dimmock Parkway, Suite 2, Colonial Heights, VA 23834 | 2006-08-21 |
| 1205886900 | Nadeem A Faruqi | Internal Medicine | 563 Southpark Blvd, Colonial Heights, VA 23834-3610 | 2006-05-11 |
| 1659334373 | Ravinder Singh Kohli | Internal Medicine | 89 Sherwood Dr, Colonial Heights, VA 23834-1447 | 2006-04-12 |
| 1205218328 | James River Cardiology, PC | Internal Medicine | 445 Charles H Dimmock Pkwy, Suite 101, Colonial Heights, VA 23834-2970 | 2015-06-25 |
| 1851794192 | James River Cardiology, PC | Internal Medicine | 2801 Boulevard, Ste D, Colonial Heights, VA 23834-2323 | 2014-10-01 |
| 1386923639 | Dominion Cardiology PC | Internal Medicine | 563 Southpark Blvd, Colonial Heights, VA 23834-3610 | 2011-08-04 |
| Find all providers in COLONIAL HEIGHTS | ||||
| City | COLONIAL HEIGHTS |
| Zip Code | 23834 |
Please comment or provide details below to improve the information on BON SECOURS-VIRGINIA HEALTHSOURCE.
| 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.