BON SECOURS-VIRGINIA HEALTHSOURCE INC (NPI# 1487922183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487922183 |
| Entity Type | Organization |
| Organization Name | BON SECOURS-VIRGINIA HEALTHSOURCE INC |
| Other Organization Name | BON SECOURS SURGICAL SPECIALIST AT ST MARY'S HOSPITAL |
| Practice Address |
5855 Bremo Rd Ste 506 Richmond VA 23226-1925 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 8042853225 |
| Practice Fax Number | 8042850360 |
| Mailing Telephone | 8046275462 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2019-06-14 |
| Authorized Official Name | STEPHAN QUIRICONI (CFO) |
| Authorized Official Telephone | 8042818301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | GROUP PTAN | C06695 | 01 |
| Other Name | Type Code |
|---|---|
| Bon Secours General Surgery at St. Mary's | Doing Business As Name - Organization |
| BON SECOURS SURGICAL SPECIALIST AT ST MARY'S HOSPITAL | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1510 N 28th St Ste 210, Richmond, VA 232235311 | 8048938676 | 8042257365 |
| 8266 Atlee Rd, Mechanicsville, VA 231161804 | 8047467491 | 8047647495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
| 1194984633 | Bon Secours-virginia Healthsource Inc | Internal Medicine | 8266 Atlee Rd Ste 229, Mechanicsville, VA 23116-1811 | 2008-06-09 |
| 1972785053 | Bon Secours-virginia Healthsource Inc | Obstetrics & Gynecology | 8266 Atlee Rd Ste 215, Mechanicsville, VA 23116-1805 | 2007-11-30 |
| 1801829205 | Bon Secours-virginia Healthsource Inc | Internal Medicine | 1510 N 28th St Ste 308, Richmond, VA 23223-5311 | 2006-07-09 |
| 1205204286 | Bon Secours-virginia Healthsource Inc | Pharmacy | 8200 Meadowbridge Rd Ste 301, Mechanicsville, VA 23116 | 2015-09-09 |
| 1750701066 | Bon Secours-virginia Healthsource Inc | Pharmacy | 1500 N 28th St, Richmond, VA 23223 | 2014-04-25 |
| 1437457587 | Bon Secours-virginia Healthsource Inc | Surgery | 13700 St Francis Blvd, Mob- Suite 301, Midlothian, VA 23114 | 2011-03-14 |
| 1356567457 | Bon Secours-virginia Healthsource Inc | Internal Medicine | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 | 2007-04-17 |
| 1285667709 | Bon Secours-virginia Healthsource Inc | Internal Medicine | 13700 St Francis Blvd, Suite 510, Midlothian, VA 23114 | 2006-07-08 |
| Street Address |
5855 BREMO RD STE 506 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23226-1925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033625744 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 5875 Bremo Rd Ste 606, Richmond, VA 23226 | 2017-12-18 |
| 1922517028 | Karen Margaret Karwowski | Physical Therapist | 1901 Charles Street, Crestview Elementary School, Henrico, VA 23226 | 2017-09-21 |
| 1831636463 | Tammy A Lewis | Nurse Practitioner | 5803 Bremo Road, Richmond, VA 23226 | 2017-01-20 |
| 1497116438 | Ashton Williams | Counselor | 2008 Libbie Avenue, Suite 101, Richmond, VA 23226 | 2016-03-18 |
| 1396110078 | Nino Carlo Deleon | Dentist | 5500 Monument Ave Ste G, Richmond, VA 23226 | 2015-12-07 |
| 1083097794 | Amy Michelle Kruger | Podiatrist | 2008 Bremo Rd Ste 100, Richmond, VA 23226 | 2015-06-30 |
| 1841682762 | James Bryce Lothian | Pediatrics | 5875 Bremo Road, Mob South, Suite 303, Pediatric Lung Care, Richmond, VA 23226 | 2015-03-02 |
| 1811334980 | Carmen Wong | Physical Medicine & Rehabilitation | 1901 Libbie Ave, Richmond, VA 23226 | 2013-05-30 |
| 1841533890 | Lauren Etz Freeman | Nurse Practitioner | 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 | 2013-03-28 |
| 1609126044 | Tammy Denise Mills | Nurse Practitioner | 1501 Maple Ave Ste 301, Richmond, VA 23226 | 2012-09-13 |
| Find all providers in zip 23226 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508388554 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Surgery | 5875 Bremo Rd Ste 110, Richmond, VA 23226-1934 | 2017-07-12 |
| 1952668667 | Catalina Mosquera | Surgery | Vcuhs Dept of General Surgery/ Surgical Oncology, 1250 E. Marshall Street, Richmond, VA 23298 | 2012-04-19 |
| 1700151586 | Manikoth G Kurup | Surgery | 126 Lindenhurst, Richmond, VA 23238-6163 | 2012-03-13 |
| 1467725564 | James Ryland Darden Jr. | Surgery | 9960 Mayland Dr, Richmond, VA 23233-1485 | 2012-02-21 |
| 1790075570 | Sylvester N Osayi | Surgery | 1050 Reid Parkway, Suite 120, General Surgeons, Richmond, IN 47374-1156 | 2011-04-13 |
| 1720383953 | Wyatt Sanford Beazley IIi | Surgery | 2320 Monument Avenue, Richmond, VA 23220-2604 | 2011-01-19 |
| 1881823821 | Peter E Miller | Surgery | 7605 Forest Ave Ste 308, Richmond, VA 23229-4939 | 2009-07-13 |
| 1447417480 | Silas Mbasera Chikunguwo | Surgery | 3406 Bartley Pond Pl, Surgery, Richmond, VA 23233-1465 | 2008-05-19 |
| 1598969180 | Terrell Ann Singleton | Surgery | 5418 W. Grand Parkway South, Suite C, Richmond, TX 77406-5824 | 2007-06-14 |
| 1598848335 | Samuel Delbert Fritz | Surgery | 318 Geri Ln, Richmond, KY 40475-2306 | 2006-10-23 |
| Find all providers in RICHMOND | ||||
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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.