BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. (NPI# 1548529126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548529126 |
| Entity Type | Organization |
| Organization Name | BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. |
| Other Organization Name | BON SECOURS PEDIATRIC GASTROENTEROLOGY ASSOCIATES |
| Practice Address |
5855 Bremo Rd Ste 605 Richmond VA 23226-1926 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 8042818303 |
| Practice Fax Number | 8042877801 |
| Mailing Telephone | 8046275462 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2019-02-13 |
| Authorized Official Name | STEPHEN QUIRICONI (CFO) |
| Authorized Official Telephone | 8042818301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | GROUP PTAN | C06778 | 01 |
| Other Name | Type Code |
|---|---|
| Bon Secours Pediatric Gastroenterology Associates | 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 |
| 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 |
| 1548596638 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 13520 Hull Street Rd, Midlothian, VA 23112-2107 | 2009-10-23 |
| Street Address |
5855 BREMO RD STE 605 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23226-1926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154437 | Marina Park | Dietitian, Registered | 5855 Bremo Rd Ste 605, Richmond, VA 23226-1926 | 2020-04-29 |
| 1013259688 | Gayathri Krishnaveni Naraparaju | Pediatrics | 5855 Bremo Rd Ste 605, Richmond, VA 23226-1926 | 2013-03-21 |
| 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 | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881625408 | Juan F Villalona | Pediatrics | 7229 Forest Ave Ste 106, The Highland II Medical Office Building, Richmond, VA 23226-3765 | 2006-07-05 |
| 1730516675 | Bon Secours Virginia Medical Group I, LLC | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| 1013259688 | Gayathri Krishnaveni Naraparaju | Pediatrics | 5855 Bremo Rd Ste 605, Richmond, VA 23226-1926 | 2013-03-21 |
| 1922325919 | Pediatric Gastroenterology of Richmond, P.C. | Pediatrics | 7229 Forest Ave, Suite 105, Richmond, VA 23226-3765 | 2010-04-29 |
| 1780909085 | Kathleen A. Moyer | Pediatrics | 1000 E Broad St, Richmond, VA 23219-1930 | 2010-03-30 |
| 1942467980 | Narendra Babu Vadlamudi | Pediatrics | 1250 E Marshall St, Dept. of Pediatrics-gastroenterology, Richmond, VA 23298-5051 | 2008-05-19 |
| 1821291303 | Carl B Rountree Jr. | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083885214 | Benjamin Isaac Enav | Pediatrics | 2700 Prosperity Ave, Suite 260, Fairfax, VA 22031-4339 | 2008-03-15 |
| 1407908445 | Mahendra D.shah,m.d.& Associates,p.c. | Pediatrics | 4207 Whitford Ct, # 1703, Glen Allen, VA 23060-4138 | 2007-01-18 |
| 1154430916 | Juan C Olazagasti | Pediatrics | 102 Highland Ave Se Ste 305, Roanoke, VA 24013-2253 | 2006-08-29 |
| 1205884368 | Gastroenterology Associates of Northern Virginia, LLC | Pediatrics | 3700 Joseph Siewick Dr., Suite 308, Fairfax, VA 22033-1739 | 2006-05-04 |
| 1740253020 | Peter Lee Jr. | Pediatrics | 3022 Williams Dr, Suite 301, Fairfax, VA 22031-4600 | 2006-02-08 |
| 1174517478 | Scott Michael Sirlin | Pediatrics | 19455 Deerfield Ave, Suite 205, Lansdowne, VA 20176-8100 | 2005-09-01 |
| 1164779682 | Benjamin I. Enav, Md, LLC | Pediatrics | 2700 Prosperity Ave, Suite 260, Fairfax, VA 22031-4339 | 2012-08-14 |
| 1477810208 | Grace Milad Felix | Pediatrics | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2012-04-18 |
| 1366769705 | Michael V. Mendoza | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2010-04-26 |
| 1427283472 | Stefany H Garrity | Pediatrics | 3023 Hamaker Ct, Suite 600, Fairfax, VA 22031-2207 | 2009-05-20 |
| Find all providers with the same taxonomy | ||||
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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.