BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC (NPI# 1740585207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740585207 |
| Entity Type | Organization |
| Organization Name | BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC |
| Other Organization Name | HANOVER PEDIATRICS |
| Practice Address |
9113 Dickey Dr Mechanicsville VA 23116-2502 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 8045597280 |
| Practice Fax Number | 8045597282 |
| Mailing Telephone | 8046275462 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | STEPHAN QUIRICONI (CFO) |
| Authorized Official Telephone | 8042818301 |
| Is Organization Subpart | Y |
| Parent Organization Name | BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | GROUP PTAN | C06115 | 01 |
| Other Name | Type Code |
|---|---|
| Hanover Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437717592 | Bon Secours Memorial Regional Medical Center Inc | Orthopaedic Surgery | 8266 Atlee Rd Ste 225, Mechanicsville, VA 23116-1813 | 2019-06-04 |
| 1265951818 | Bon Secours Memorial Regional Medical Center Inc | Obstetrics & Gynecology | 1510 N 28th St Ste 305, Richmond, VA 23223-5311 | 2017-09-14 |
| 1376897827 | Bon Secours Memorial Regional Medical Center Inc | Psychologist | 8220 Meadowbridge Rd Ste 313, Mechanicsville, VA 23116-2340 | 2012-11-06 |
| 1306193347 | Bon Secours Memorial Regional Medical Center Inc | Psychiatry & Neurology | 8266 Atlee Rd Ste 330, Mechanicsville, VA 23116-1812 | 2012-08-09 |
| 1366475642 | Bon Secours Memorial Regional Medical Center Inc | Family Medicine | 306 Ashcake Rd Ste C, Ashland, VA 23005-2323 | 2006-07-09 |
| 1174556658 | Bon Secours Memorial Regional Medical Center Inc | Pediatrics | 7347 Bell Creek Rd Ste 100, Mechanicsville, VA 23111-3504 | 2006-07-08 |
| 1033577663 | Bon Secours Memorial Regional Medical Center Inc | Internal Medicine | 7041 Lee Park Rd, Mechanicsville, VA 23111-3682 | 2016-02-10 |
| 1679957948 | Bon Secours Memorial Regional Medical Center Inc | Family Medicine | 8200 Meadowbridge Rd Ste 301, Mechanicsville, VA 23116-2337 | 2015-07-16 |
| 1245514017 | Bon Secours Memorial Regional Medical Center Inc | Clinic/Center | 8237 Meadowbridge Rd, Mechanicsville, VA 23116-2329 | 2011-09-28 |
| 1144529207 | Bon Secours Memorial Regional Medical Center Inc | Psychiatry & Neurology | 1510 N 28th St, Mob, Suite 101, Richmond, VA 23223-5311 | 2011-03-15 |
| Street Address |
9113 DICKEY DR |
| City | MECHANICSVILLE |
| State | VA |
| Zip Code | 23116-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336230515 | Elisabeth H Conrad | Nurse Practitioner | 9113 Dickey Dr, Mechanicsville, VA 23116-2502 | 2006-09-27 |
| 1437356763 | Donna L Conway | Nurse Practitioner | 9113 Dickey Dr, Mechanicsville, VA 23116-2502 | 2007-06-29 |
| 1508912486 | Carol B Williams | Pediatrics | 9113 Dickey Dr, Mechanicsville, VA 23116-2502 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131664 | Orthovirginia, Inc | Physician Assistant | 9369 Atlee Road Unit 3107, Mechanicsville, VA 23116 | 2019-12-12 |
| 1558915702 | Rachelle Lamaris Smith | Counselor | 7611 Magazine Drive, Mechanicsville, VA 23116 | 2019-07-26 |
| 1467004952 | Katherine Romero-davis | Speech-Language Pathologist | Sheltering Arms Rehabilitation Hospital, 8254 Atlee Road, Mechanicsville, VA 23116 | 2019-07-15 |
| 1275092850 | Melissa Harp Harden | Occupational Therapist | 9366 Count Kristopher Dr, Mechanicsville, VA 23116 | 2019-03-13 |
| 1467969105 | Lynsey Marie Preisner | Physician Assistant | 8262 Atlee Road Suite 202, Mechanicsville, VA 23116 | 2018-01-03 |
| 1912437526 | Kim S Hammonds | Nurse Practitioner | 8102 Braxton Court, Mechanicsville, VA 23116 | 2017-06-15 |
| 1023547528 | Gina Elysia Wurfel | Social Worker | 9126 Ashlar Pl, Mechanicsville, VA 23116 | 2017-06-08 |
| 1063945624 | Lisa Gervasoni | Occupational Therapist | 8254 Attlee Road, Mechanicsville, VA 23116 | 2017-04-10 |
| 1679006308 | Kerri Eggleston | Physical Therapist | 8226 Meadowbridge Road, Mechanicsville, VA 23116 | 2017-04-10 |
| 1659823466 | Mechanicsville Chemist LLC | Pharmacy | 8324 Bell Creek Road, Suite Number 800, Mechanicsville, VA 23116 | 2016-10-27 |
| Find all providers in zip 23116 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588051734 | Andrew Stephen Anderson Jr. | Pediatrics | 7521 Right Flank Rd Ste 100, Mechanicsville, VA 23116 | 2015-04-24 |
| 1821418328 | Ginny Shelton | Pediatrics | 8356 Bell Creek Rd, Mechanicsville, VA 23116-3813 | 2014-04-23 |
| 1760690226 | Stephanie Elizabeth Smith | Pediatrics | 9137 Chamberlayne Rd, Suite 107, Mechanicsville, VA 23116-2534 | 2007-05-18 |
| 1477667293 | David Paul Gosselin | Pediatrics | 7347 Bell Creek Rd, Suite 100, Mechanicsville, VA 23111-3504 | 2006-08-18 |
| 1174556658 | Bon Secours Memorial Regional Medical Center Inc | Pediatrics | 7347 Bell Creek Rd Ste 100, Mechanicsville, VA 23111-3504 | 2006-07-08 |
| 1013976067 | Aruna D. Dhru | Pediatrics | 9464 Chamberlayne Rd, Suite 101, Mechanicsville, VA 23116-2882 | 2006-03-20 |
| 1992704399 | Joycelyn Sabino-akins | Pediatrics | 6372 Mechanicsville Tpke, Suite 103, Mechanicsville, VA 23111-4705 | 2005-07-18 |
| 1669089595 | Alexandra Taylor Larosa | Pediatrics | 8356 Bell Creek Rd, Mechanicsville, VA 23116-3813 | 2020-09-24 |
| 1730425828 | Focus Richmond LLC | Pediatrics | 9137 Chamberlayne Rd, Suite 107, Mechanicsville, VA 23116-2534 | 2012-12-18 |
| 1508912486 | Carol B Williams | Pediatrics | 9113 Dickey Dr, Mechanicsville, VA 23116-2502 | 2007-01-25 |
| Find all providers in MECHANICSVILLE | ||||
| City | MECHANICSVILLE |
| Zip Code | 23116 |
Please comment or provide details below to improve the information on BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC.
| 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.