JAMIESON M BOURQUE (NPI# 1487866331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487866331 |
| Entity Type | Individual |
| Full Name | JAMIESON M BOURQUE |
| Credential | M.D. |
| Practice Address |
500 Ray C Hunt Dr Charlottesville VA 22903-2981 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4342431000 |
| Practice Fax Number | 4342447551 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101241216 | VA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 0101241216 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
500 RAY C HUNT DR |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-2981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083601017 | Robert Benjamin Davis | Registered Nurse | 500 Ray C Hunt Dr, Charlottesville, VA 22903-2981 | 2005-10-04 |
| 1003385972 | Sarah M Spriggs | Nurse Practitioner | 500 Ray C Hunt Dr, Charlottesville, VA 22903-2981 | 2018-11-20 |
| 1356850598 | Oliver James Monfredi | Internal Medicine | 500 Ray C Hunt Dr, Charlottesville, VA 22903-2981 | 2017-09-20 |
| 1093235426 | Katelyn Hanson | Nurse Practitioner | 500 Ray C Hunt Dr, Charlottesville, VA 22903-2981 | 2017-06-27 |
| 1104292770 | Allison W. Patrizio | Nurse Practitioner | 500 Ray C Hunt Dr, Charlottesville, VA 22903-2981 | 2015-08-18 |
| 1750779559 | Mary Hardy | Nurse Practitioner | 500 Ray C Hunt Dr, Charlottesville, VA 22903-2981 | 2014-12-31 |
| 1992102214 | Karie A. Wilson | Nurse Practitioner | 500 Ray C Hunt Dr, Charlottesville, VA 22903-2981 | 2014-12-02 |
| 1396150306 | Hamza Mustafa Beano | Urology | 500 Ray C Hunt Dr, Charlottesville, VA 22903-2981 | 2014-06-27 |
| 1942610704 | Michael Parker Ayers | Internal Medicine | 500 Ray C Hunt Dr, Charlottesville, VA 22903-2981 | 2014-05-02 |
| 1285998641 | Patricia Fiorella Rodriguez Lozano | Internal Medicine | 500 Ray C Hunt Dr, Charlottesville, VA 22903 | 2012-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| 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 |
|---|---|---|---|---|
| 1275899700 | David Shisler | Internal Medicine | 1215 Lee St Rm 4025, Charlottesville, VA 22908-3841 | 2012-04-10 |
| 1548428287 | Surovi Hazarika | Internal Medicine | 2955 Ivy Rd Ste 201, Charlottesville, VA 22903-9353 | 2008-05-29 |
| 1376609610 | Michael Ragosta | Internal Medicine | 1215 Lee St Heart Center Lee Street, Charlottesville, VA 22908-0001 | 2006-12-29 |
| 1720141740 | Carlos R. Ayers | Internal Medicine | Uva Northridge, 2955 Ivy Road, Charlottesville, VA 22903 | 2006-12-19 |
| 1215006846 | James M. Mangrum | Internal Medicine | Lee St Ground Floor, Charlottesville, VA 22908-0001 | 2006-11-07 |
| 1225088107 | Max A Luna | Internal Medicine | 500 Ray C Hunt Dr Fl 2, Charlottesville, VA 22903-2981 | 2006-05-11 |
| 1548240344 | Blue Ridge Heart and Vascular Plc | Internal Medicine | 300 Hickman Rd, Suite 202, Charlottesville, VA 22911-3554 | 2006-01-18 |
| 1407836380 | Joshua J Fischer | Internal Medicine | 650 Peter Jefferson Pkwy Ste 100, Charlottesville, VA 22911-8844 | 2006-01-18 |
| 1851376818 | Christopher D Friend | Internal Medicine | 650 Peter Jefferson Pkwy, Ste 100, Charlottesville, VA 22911-8844 | 2005-12-13 |
| 1952302093 | Richard P. Shannon | Internal Medicine | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2005-08-10 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on JAMIESON M BOURQUE.
| 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.