BON SECOURS-VIRGINIA HEALTHSOURCE INC


Address: 1510 N 28th St Ste 308, Richmond, VA 23223-5311
Phone: 8046441665

BON SECOURS-VIRGINIA HEALTHSOURCE INC (NPI# 1801829205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801829205
Entity Type Organization
Organization Name BON SECOURS-VIRGINIA HEALTHSOURCE INC
Other Organization Name PRIMARY HEALTH CARE ASSOCIATES
Practice Address 1510 N 28th St Ste 308
Richmond
VA 23223-5311
Mailing Address 8580 Magellan Pkwy
Richmond
VA 23227-1149
Practice Telephone 8046441665
Practice Fax Number 8046445285
Mailing Telephone 8046275462
Mailing Fax Number 8664490896
Enumeration Date 2006-07-09
Last Update Date 2019-06-11
Authorized Official Name STEPHAN QUIRICONI (CFO)
Authorized Official Telephone 8042818301
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA RAILROAD MEDICARE CG5286 01

Other Provider/Organization Names

Other Name Type Code
Primary Health Care Associates Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
2421 Chamberlayne Ave, Richmond, VA 232224205 8043298510 8043292160

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1619222767 Bon Secours-virginia Healthsource Inc Pharmacy 6900 Forest Ave Ste 100, Richmond, VA 23230 2012-07-16
1487922183 Bon Secours-virginia Healthsource Inc Surgery 5855 Bremo Rd Ste 506, Richmond, VA 23226-1925 2011-12-08
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
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

Office Location

Street Address 1510 N 28TH ST STE 308
City RICHMOND
State VA
Zip Code 23223-5311

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003421538 Doctors Who Care Pllc Internal Medicine 1601 Main St Ste 309, Richmond, TX 77469-3230 2020-09-11
1093367245 Maya Susan Varkey Internal Medicine 8119 Cheyenne Hills Trl, Richmond, TX 77406-1626 2019-07-09
1780164426 Kelly Clinic Internal Medicine 5503 Fm 359 Rd Ste C, Richmond, TX 77406-7835 2018-08-21
1013411032 Graham Philip Mcrary Internal Medicine Vcuhs Dept of Pm&r, 9860667, 1250 E. Marshall Street, Richmond, VA 23298-0000 2018-03-23
1306340153 Eric Sheldon Jacobson Internal Medicine 2956 Hathaway Rd, Apt. 1101, Richmond, VA 23225 2018-03-19
1922528504 Erin A Chung Internal Medicine 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 2017-06-23
1801322821 Adnan Alam Khan Internal Medicine 1721 Hanover Ave Unit A, Richmond, VA 23220-3505 2017-05-11
1568900439 John Edward Tysell Jr. Internal Medicine 437 Carlston Street, Richmond, CA 94805 2017-02-10
1457898702 Michael Ngo D.o. American Board of Internal Medicine Certified Pllc Internal Medicine 11130 Drumadoon Dr, Richmond, TX 77407-2036 2017-01-25
1346796091 Thaer Saqer Mustafa Abdelfattah Internal Medicine Vcuhs Dept of Gastroenterology Fellowship, 980509, 1250 E. Marshall Street, Richmond, VA 23298-0509 2016-08-31
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City RICHMOND
Zip Code 23223

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Dataset Information

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.

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