BON SECOURS VIRGINIA MEDICAL GROUP I, LLC (NPI# 1730516634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730516634 |
| Entity Type | Organization |
| Organization Name | BON SECOURS VIRGINIA MEDICAL GROUP I, LLC |
| Other Organization Name | BON SECOURS CAPITOL OB/GYN |
| Practice Address |
1510 N 28th St Suite 305 Richmond VA 23223-5311 |
| Practice Telephone | 8043711689 |
| Practice Fax Number | 8043711678 |
| Mailing Telephone | 8043711689 |
| Mailing Fax Number | 8043711678 |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |
| Authorized Official Name | GEORGE BUTLER (DIRECTOR CORPORATE RESPONSIBILITY) |
| Authorized Official Telephone | 8042810271 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bon Secours Capitol OB/GYN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912334814 | Bon Secours Virginia Medical Group I, LLC | Psychologist | 8220 Meadowbridge Rd # Mobi, Suite 308, Mechanicsville, VA 23116-2336 | 2013-10-09 |
| 1013344944 | Bon Secours Virginia Medical Group I, LLC | Internal Medicine | 5855 Bremo Rd, Suite 102, Richmond, VA 23226-1930 | 2013-10-10 |
| 1568899409 | Bon Secours Virginia Medical Group I, LLC | Dermatology | 5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2624 | 2013-10-10 |
| 1821425760 | Bon Secours Virginia Medical Group I, LLC | Dentist | 6900 Forest Ave, Suite 110, Richmond, VA 23230-1729 | 2013-10-10 |
| 1538596473 | Bon Secours Virginia Medical Group I, LLC | Psychologist | 5855 Bremo Rd, Suite 404, Richmond, VA 23226-1930 | 2013-10-10 |
| 1356778294 | Bon Secours Virginia Medical Group I, LLC | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| 1740617679 | Bon Secours Virginia Medical Group I, LLC | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| 1013344951 | Bon Secours Virginia Medical Group I, LLC | Psychiatry & Neurology | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| 1730516675 | Bon Secours Virginia Medical Group I, LLC | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| 1619304557 | Bon Secours Virginia Medical Group I, LLC | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| Street Address |
1510 N 28TH ST SUITE 305 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23223-5311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336132216 | James Edward Frazier II | Pharmacist | 1510 N 28th St, Suite 100, Richmond, VA 23223-5332 | 2005-08-26 |
| 1174909733 | Renu Sadanandan | Nurse Practitioner | 1510 N 28th St, Suite 101, Richmond, VA 23223-5311 | 2015-08-06 |
| 1699176115 | Ife I Torrence | Nurse Practitioner | 1510 N 28th St, Suite 308, Richmond, VA 23223-5311 | 2014-09-16 |
| 1851703300 | Valerie South | Nurse Practitioner | 1510 N 28th St, Suite 305, Richmond, VA 23223-5311 | 2014-06-02 |
| 1457788358 | Bon Secours Virginia Medical Group I, LLC | Psychologist | 1510 N 28th St, Suite 101, Richmond, VA 23223-5311 | 2013-10-09 |
| 1780029538 | Rebecca Elaine Sherard | Social Worker | 1510 N 28th St, Suite 101, Richmond, VA 23223-5311 | 2013-05-07 |
| 1144529207 | Bon Secours Memorial Regional Medical Center Inc | Psychiatry & Neurology | 1510 N 28th St, Mob, Suite 101, Richmond, VA 23223-5311 | 2011-03-15 |
| 1912209149 | Bon Secours Memorial Regional Medical Center Inc | Obstetrics & Gynecology | 1510 N 28th St, Suite 305, Richmond, VA 23223-5311 | 2010-11-19 |
| 1346569456 | Stephen John Popovich | Internal Medicine | 1510 N 28th St, Suite 308, Richmond, VA 23223-5311 | 2010-05-28 |
| 1063673390 | Bon Secours-virginia Healthsource, Inc. | Internal Medicine | 1510 N 28th St, Suite 204, Richmond, VA 23223 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291953 | Hope Pharmacy, Inc. | Pharmacy | 1330 N. 25th Street, Richmond, VA 23223 | 2019-02-18 |
| 1063918019 | Terri Ann Russell | Social Worker | Henrico County Public Schools, 3820 Nine Mile Rd., Henrico, VA 23223 | 2018-03-30 |
| 1871092171 | Sharon H. Joyner | Non-emergency Medical Transport (VAN) | 3217 Arthurwood Pl, Richmond, VA 23223 | 2018-02-02 |
| 1497275309 | Jennifer Lynn Dent | Physical Therapist | 10 S 20th Street, Unit U408, Richmond, VA 23223 | 2017-06-21 |
| 1568982551 | Andrea Sledd | Social Worker | 200 N. 22nd Street, Richmond, VA 23223 | 2017-06-21 |
| 1528597903 | Ashley Telisa Battle | Physical Therapy Assistant | 12100 Chancellors Village Lane, Fredericksburg, VI 23223 | 2017-06-08 |
| 1811436199 | Dedric Lee Sr. | Home Health Aide | 527 N Laburnum Ave Apt 2, Richmond, VA 23223 | 2017-02-20 |
| 1619424181 | Brighter Prospective Residential Services, LLC | Transportation Broker | 2509 Tonoka Road, Henrico, VA 23223 | 2016-09-01 |
| 1629425277 | Spread Your Wings | Non-emergency Medical Transport (VAN) | 709 Hallwood Farms Dr., Richmond, VA 23223 | 2016-05-24 |
| 1396120010 | Robert Reaves Griffin IIi | Pharmacist | 3601 Mechanicsville Turnpike, Richmond, VA 23223 | 2015-07-23 |
| Find all providers in zip 23223 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396109534 | Allison Tucker Gray | Obstetrics & Gynecology | 6600 W Broad St Ste 100, Richmond, VA 23230-1709 | 2016-04-13 |
| 1033598594 | Kimberly Rhea Earhart | Obstetrics & Gynecology | 7601 Forest Ave Ste 100, Richmond, VA 23229-4933 | 2015-05-29 |
| 1710305966 | Natalie M Dogal | Obstetrics & Gynecology | 7605 Forest Ave Ste 206, Richmond, VA 23229 | 2014-04-04 |
| 1508154436 | Enyioma A Muolokwu Pa | Obstetrics & Gynecology | 7602 Bright Lake Bend Ln, Richmond, TX 77407-4494 | 2011-07-12 |
| 1124357561 | Max Sam Maizels | Obstetrics & Gynecology | 328 Oak Ln, Richmond, VA 23226-1656 | 2009-12-14 |
| 1548596992 | Jenny Zamor, Do P.C. | Obstetrics & Gynecology | 206 E Clay St, Suite B, Richmond, VA 23219-1326 | 2009-10-20 |
| 1932332426 | C.funsho Fagbohun,md,phd Pa | Obstetrics & Gynecology | 1601 Liberty St Ste A, Richmond, TX 77469-3252 | 2009-08-31 |
| 1295962330 | Elizabeth Ann Bailey | Obstetrics & Gynecology | 5510 W Grand Pkwy S Ste B, Richmond, TX 77406-5879 | 2009-06-16 |
| 1245419217 | James E Jones Jr Md PC | Obstetrics & Gynecology | 5875 Bremo Rd Ste 304, Richmond, VA 23226-1934 | 2007-10-26 |
| 1093911802 | Ramzi Aboujaoude | Obstetrics & Gynecology | 1401 Johnston-willis Dr., Suite 5000, Richmond, VA 23235-4730 | 2007-06-27 |
| 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.