BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.


Address: 12720 Mcmanus Blvd, Suite 313, Newport News, VA 23602-4414
Phone: 7579473190

BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. (NPI# 1326379769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326379769
Entity Type Organization
Organization Name BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Other Organization Name LIVER INSTITUTE OF VIRGINIA - BON SECOURS MEDICAL GROUP
Practice Address 12720 Mcmanus Blvd
Suite 313
Newport News
VA 23602-4414
Practice Telephone 7579473190
Practice Fax Number 7579473195
Mailing Telephone 7579473190
Mailing Fax Number 7579473195
Enumeration Date 2010-01-25
Last Update Date 2018-10-24
Authorized Official Name GEORGE O. BUTLER (DIRECTOR, CORPORATE RESPONSIBILITY)
Authorized Official Telephone 8042810271
Authorized Official Credential MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0008X Internal Medicine
Specialization: Hepatology
0101036976 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA MEDICARE GROUP PIN C06778 01

Other Provider/Organization Names

Other Name Type Code
Liver Institute of Virginia - Bon Secours Medical Group Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194360503 Bon Secours-st. Mary's Hospital of Richmond, Inc. Internal Medicine 5899 Bremo Rd Ste 202, Richmond, VA 23226-1935 2019-11-08
1346741667 Bon Secours-st. Mary's Hospital of Richmond, Inc. Clinic/Center 12320 W Broad St Ste 100, Richmond, VA 23233 2018-02-22
1215438544 Bon Secours-st. Mary's Hospital of Richmond, Inc. Clinic/Center 12320 W Broad St Ste 100a, Richmond, VA 23233 2018-02-22
1508388554 Bon Secours-st. Mary's Hospital of Richmond, Inc. Surgery 5875 Bremo Rd Ste 110, Richmond, VA 23226-1934 2017-07-12
1255776290 Bon Secours-st. Mary's Hospital of Richmond, Inc. Internal Medicine 2401 W Leigh Street, Richmond, VA 23220-1328 2013-05-03
1639430093 Bon Secours-st. Mary's Hospital of Richmond, Inc. Psychologist 5855 Bremo Rd Ste 404, Mob North, Richmond, VA 23226-1924 2012-06-01
1548529126 Bon Secours-st. Mary's Hospital of Richmond, Inc. Pediatrics 5855 Bremo Rd Ste 605, Richmond, VA 23226-1926 2012-05-16
1508125386 Bon Secours-st. Mary's Hospital of Richmond, Inc. Internal Medicine 1501 Maple Ave Ste 100, Richmond, VA 23226-2553 2012-05-14
1013280544 Bon Secours-st. Mary's Hospital of Richmond, Inc. Internal Medicine 5875 Bremo Rd Ste G11, Mob South, Richmond, VA 23226-1934 2012-02-14
1265736680 Bon Secours-st. Mary's Hospital of Richmond, Inc. Pediatrics 5855 Bremo Rd Ste 703, Richmond, VA 23226-1926 2010-12-28

Office Location

Street Address 12720 MCMANUS BLVD
SUITE 313
City NEWPORT NEWS
State VA
Zip Code 23602-4414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346270329 Mary Immaculate Ambulatory Surgery Center LLC Clinic/Center 12720 Mcmanus Blvd, Ste 103, Newport News, VA 23602-4441 2006-07-04
1194267229 Mary Immaculate Hospital Obstetrics & Gynecology 12720 Mcmanus Blvd, Suite 301, Newport News, VA 23602-4414 2016-11-07
1689047979 Mary Immaculate Hospital Surgery 12720 Mcmanus Blvd, Suite 203, Newport News, VA 23602-4414 2015-11-09
1174921365 Lindsay Nicole Manzlak Nurse Practitioner 12720 Mcmanus Blvd, Suite 308, Newport News, VA 23602-4414 2014-12-21
1265844880 Susan Elizabeth Ferrandino Nurse Practitioner 12720 Mcmanus Blvd, Suite 303, Newport News, VA 23602-4414 2014-06-02
1164767968 Monika R Brown Nurse Practitioner 12720 Mcmanus Blvd, Suite 308, Newport News, VA 23602-4414 2012-12-05
1356625073 Mary Immaculate Hospital Internal Medicine 12720 Mcmanus Blvd, Suite 303, Newport News, VA 23602-4414 2011-09-29
1578860607 Philip C Alexander Nurse Practitioner 12720 Mcmanus Blvd, Suite 313, Newport News, VA 23602-4414 2011-02-25
1003130394 Mary Immaculate Hospital Internal Medicine 12720 Mcmanus Blvd, Suite 201, Newport News, VA 23602-4414 2010-03-16
1063641835 Ugur Yilmaz Psychiatry & Neurology 12720 Mcmanus Blvd, Newport News, VA 23602-4414 2009-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538789425 Aishah Naomi Khursheed Counselor 727 J Clyde Blvd, Ste A, Newport News, VA 23602 2020-04-21
1962069526 Boss Inner Child Counseling, LLC Clinic/Center 14203 Old Courthouse Way, Suite B, Newport News, VA 23602 2019-05-20
1922598572 Manoj Chawla Internal Medicine 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 2018-05-18
1750896999 Alexandra Paige Jones Behavioral Analyst 12727 Mcmanus Blvd., Newport News, VA 23602 2017-12-11
1457712556 Mary Ellen Lynch Registered Nurse American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 2016-03-16
1790159481 Megan Ashley Burkart Schmidt Registered Nurse 903 Kinsale Cres, Newport News, VA 23602 2015-11-18
1962870733 Natalie Marie Bradshaw-smith Nurse Practitioner 401 Oyster Point Rd Ste A, Newport News, VA 23602 2015-09-09
1477953578 Jonathan Edwards Pathology Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 2014-08-26
1588063663 Cathy G Cooke Psychologist 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 2014-08-14
1538576764 John Michael Sullivan Psychologist One Old Oyster Point Road, Newport News, VA 23602 2014-07-21
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Taxonomy Information

Taxonomy Code 207RI0008X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hepatology

Taxonomy Definition

The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.
Notes: Training Programs, and/or Fellowships, Preceptorships: The American Association for the Study of Liver Diseases (AASLD) is the major professional society organized for physicians with an interest in Hepatology. A subcommittee of that organization has published guidelines for training programs in the 1992 November issue of Hepatology. Source: The American Board of Internal Medicine 9/1993 ACGME Accredited Residency Program Requirements: None

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295155307 Calvin Kiani Internal Medicine 1101 E Marshall St Ste 1-010, Richmond, VA 23298-5008 2014-04-16
1396891834 Gastroenterology & Hepatology Associates PC Internal Medicine 4660 Kenmore Avenue, Suite 810, Alexandria, VA 22304 2007-01-26

Competitor

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City NEWPORT NEWS
Zip Code 23602

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Dataset Information

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.

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