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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0008X |
Internal Medicine Specialization: Hepatology |
0101036976 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | MEDICARE GROUP PIN | C06778 | 01 |
Other Name | Type Code |
---|---|
Liver Institute of Virginia - Bon Secours Medical Group | Doing Business As Name - Organization |
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 |
Street Address |
12720 MCMANUS BLVD SUITE 313 |
City | NEWPORT NEWS |
State | VA |
Zip Code | 23602-4414 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 23602 |
Taxonomy Code | 207RI0008X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hepatology |
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 |
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 |
City | NEWPORT NEWS |
Zip Code | 23602 |
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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.