BON SECOURS-VIRGINIA HEALTHSOURCE (NPI# 1528091808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528091808 |
| Entity Type | Organization |
| Organization Name | BON SECOURS-VIRGINIA HEALTHSOURCE |
| Other Organization Name | TUCKAHOE FAMILY MEDICAL CENTER |
| Practice Address |
3311 Church Rd Suite 100 Richmond VA 23233 |
| Mailing Address |
3311 Church Rd Suite 100 Richmond VA 23233-1814 |
| Practice Telephone | 8049659087 |
| Practice Fax Number | 8049650721 |
| Mailing Telephone | 8049659087 |
| Mailing Fax Number | 8049650721 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2018-07-27 |
| Authorized Official Name | GEORGE ODELL BUTLER (DIRECTOR OF CORP RESPONSIBILITY) |
| Authorized Official Telephone | 8042810271 |
| Is Organization Subpart | Y |
| Parent Organization Name | BON SECOURS-VIRGINIA HEALTHSOURCE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RAILROAD MEDICARE | CA6615 | 01 |
| VA | RAILROAD MEDICARE | CC4370 | 01 |
| Other Name | Type Code |
|---|---|
| Tuckahoe Family Medical Center | 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 |
| 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 |
| 1427229939 | Bon Secours-virginia Healthsource | Family Medicine | 9600 Patterson Ave, Richmond, VA 23229 | 2008-03-13 |
| Street Address |
3311 CHURCH RD SUITE 100 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1770193286 | Penelope Kate Eissenberg | Occupational Therapist | Cedarfields, 2300 Cedarfield Parkway, Richmond, VA 23233 | 2020-08-10 |
| 1962038570 | Samantha Montgomery Warren | Nurse Practitioner | 3900 Westerre Parkway, Suite 300 Pmb# 308, Richmond, VA 23233 | 2020-03-15 |
| 1285269696 | Joyce Prayer Medical Transportion LLC | Transportation Broker | 2437 Bidgeview Ln, Henrico, VA 23233 | 2020-03-05 |
| 1821621228 | Marlon Reyes | Private Vehicle | 2500 Pump Rd, Richmond, VA 23233 | 2020-02-13 |
| 1659840924 | Brent Rusnak River Run Dental Greengate | Dentist | 3700 Haydenpark Lane, Medical Office J, Henrico, VA 23233 | 2018-11-16 |
| 1003309808 | Jeffrey Walker | Pharmacist | 3460 Pump Road, Henrico, VA 23233 | 2018-06-07 |
| 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 |
| 1295235026 | Zackery Firesheets | Physical Therapy Assistant | 2422 University Park Blvd., Richmond, VA 23233 | 2018-02-19 |
| Find all providers in zip 23233 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1518590611 | Titilayo Oluwakemi Akinpelu | Family Medicine | 19710 Terrace Cliff Ct, Richmond, TX 77407-1920 | 2020-02-17 |
| 1154977742 | Lesley Chanell Lagrue | Family Medicine | 9114 Andes Ridge Ln, Richmond, TX 77407-1692 | 2019-08-10 |
| 1285291898 | Np Care LLC | Family Medicine | 1618 Pope Ave, Richmond, VA 23227-3754 | 2019-05-20 |
| 1639653025 | Ruchita S Patel Md Pllc | Family Medicine | 19303 Mission Cove Ln, Richmond, TX 77407-2559 | 2018-09-20 |
| 1548777915 | Kudirat Folorunsho Sunmonu | Family Medicine | 6930 Chapel Meadow Ln, Richmond, TX 77407-3833 | 2018-01-05 |
| 1114450624 | Jacqueline Britz | Family Medicine | 4730 E Southside Plaza, Richmond, VA 23224 | 2017-04-11 |
| 1255862926 | Andrew Lyell | Family Medicine | 3204 Parkwood Ave, Richmond, VA 23221-3421 | 2017-03-24 |
| 1255782546 | Clarkson Health LLC | Family Medicine | 4821 Old National Rd E, Suite A, Richmond, IN 47374-2651 | 2016-06-28 |
| 1326498650 | Emily Nicole Lynch | Family Medicine | 3591 Dorothy Ln, Richmond, IN 47374-6749 | 2016-06-17 |
| 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.