BON SECOURS ST. FRANCIS MEDICAL CENTER, INC. (NPI# 1013143635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013143635 |
| Entity Type | Organization |
| Organization Name | BON SECOURS ST. FRANCIS MEDICAL CENTER, INC. |
| Other Organization Name | NERUOLOGY CLINIC - BON SECOURS MEDICAL GROUP |
| Practice Address |
11601 Iron Bridge Rd Suite 207 Chester VA 23831-1466 |
| Practice Telephone | 8042856880 |
| Practice Fax Number | 8047061585 |
| Mailing Telephone | 8042856880 |
| Mailing Fax Number | 8047061585 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2010-02-09 |
| Authorized Official Name | GEORGE O. BUTLER (DIRECTOR, CORPORATE RESPONSIBILITY) |
| Authorized Official Telephone | 8042810271 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 305R00000X | Preferred Provider Organization | 0101235914 | VA | Managed Care Organizations |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0101235914 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP PTAN | C09633 | 01 |
| Other Name | Type Code |
|---|---|
| Neruology Clinic - Bon Secours Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124421318 | Bon Secours St. Francis Medical Center, Inc. | Family Medicine | 32 W Washington St, Suite B, Petersburg, VA 23803-4224 | 2014-10-01 |
| 1376945626 | Bon Secours St. Francis Medical Center, Inc. | Family Medicine | 12340 Bermuda Crossroad Ln, Chester, VA 23831-2352 | 2014-09-18 |
| 1750656625 | Bon Secours St. Francis Medical Center, Inc. | Obstetrics & Gynecology | 13700 St Francis Blvd Ste 502, Mob, Midlothian, VA 23114-3223 | 2012-03-12 |
| 1366729600 | Bon Secours St. Francis Medical Center, Inc. | Internal Medicine | 5949 Harbour Park Dr, Midlothian, VA 23112-2163 | 2011-11-15 |
| 1184078800 | Bon Secours St. Francis Medical Center, Inc. | Family Medicine | 213 N Main St, Blackstone, VA 23824-1425 | 2016-04-19 |
| 1942601448 | Bon Secours St. Francis Medical Center, Inc. | Clinic/Center | 7324 Bell Creek Rd, Mechanicsville, VA 23111-3545 | 2014-09-16 |
| 1104227263 | Bon Secours St. Francis Medical Center, Inc. | Family Medicine | 200 Charter Colony Pkwy, Midlothian, VA 23114-4584 | 2014-09-09 |
| 1780948083 | Bon Secours St. Francis Medical Center, Inc. | Obstetrics & Gynecology | 8239 Meadowbridge Rd, Suite A, Mechanicsville, VA 23116-2318 | 2012-07-02 |
| 1649536764 | Bon Secours St. Francis Medical Center, Inc. | Internal Medicine | 14051 St Francis Blvd, Suite 2210, Midlothian, VA 23114-3201 | 2012-04-03 |
| 1881971125 | Bon Secours St. Francis Medical Center, Inc. | Family Medicine | 213 N Main St, Blackstone, VA 23824-1425 | 2011-11-15 |
| Street Address |
11601 IRON BRIDGE RD SUITE 207 |
| City | CHESTER |
| State | VA |
| Zip Code | 23831-1466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154391571 | Stacey L Epps | Psychiatry & Neurology | 11601 Iron Bridge Rd, Suite 207, Chester, VA 23831-1466 | 2006-01-26 |
| 1760840482 | Next Bio-research Services, LLC. | Clinical Medical Laboratory | 11601 Iron Bridge Rd, Suite 101, Chester, VA 23831-1466 | 2016-02-09 |
| 1518216514 | Julie Ann Goodman | Nurse Practitioner | 11601 Iron Bridge Rd, Suite 117, Chester, VA 23831-1466 | 2012-09-05 |
| 1972890523 | Keefe Hugo Lobb | Family Medicine | 11601 Iron Bridge Rd, Suite 117, Chester, VA 23831-1466 | 2011-07-05 |
| 1790099307 | Nancy Elizabeth Bell | Nurse Practitioner | 11601 Iron Bridge Rd, Suite 117, Chester, VA 23831-1466 | 2010-08-06 |
| 1982857231 | Bon Secours-virginia Healthsource | Orthopaedic Surgery | 11601 Iron Bridge Rd, Suite 209, Chester, VA 23831 | 2008-10-30 |
| 1225285117 | Salmaan A. Khawaja | Clinical Neuropsychologist | 11601 Iron Bridge Rd, Suite 207, Chester, VA 23831-1466 | 2008-08-21 |
| 1154587186 | Andreya Brianne Risser | Family Medicine | 11601 Iron Bridge Rd, Suite 117, Chester, VA 23831-1466 | 2008-07-30 |
| 1710147145 | Kara Anne Clark | Nurse Practitioner | 11601 Iron Bridge Rd, Suite 207, Chester, VA 23831-1466 | 2008-06-10 |
| 1508918707 | Gordon Timothy Witcher | Dentist | 11601 Iron Bridge Rd, Suite 204, Chester, VA 23831-1466 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
| 1396358610 | Ronica Williams | Clinical Nurse Specialist | 12200 Ironbridge Road, Chester, VA 23831 | 2020-08-26 |
| 1891332466 | Blossom Health Services LLC | Home Health | 11312 Ludgate Place, Chester, VA 23831 | 2019-12-03 |
| 1780144881 | Positive Life Behavioral Health Services | Community/Behavioral Health | 3740 West Hundred Road, Chester, VA 23831 | 2019-03-23 |
| 1093201766 | Susan Wade | Speech-Language Pathologist | The Crossings At Ironbridge, 6701 Ironbridge Pkwy, Chester, VA 23831 | 2018-07-06 |
| 1225530793 | Rachel Victoria Mullins | Speech-Language Pathologist | 5200 Ecoff Ave, Chester, VA 23831 | 2018-03-01 |
| 1194196923 | Elpidia Victoria Elliott | Occupational Therapist | 10600 Hamlin Way, Chester, VA 23831 | 2015-10-20 |
| 1558751750 | Welcome Home Family Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3931 Hamlin Creek Court, Chester, VA 23831 | 2015-01-27 |
| 1083019525 | Shwetha Rodrigues Dds PC | Preferred Provider Organization | 12517 Jefferson Davis Highway, Chester, VA 23831 | 2014-10-27 |
| 1659781631 | Advanced Orthopaedic Centers | Orthopaedic Surgery | 12200 Branders Creek Drive, Chester, VA 23831 | 2014-04-30 |
| Find all providers in zip 23831 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811228711 | Bon Secours St. Francis Medical Center Inc | Psychiatry & Neurology | 11601 Iron Bridge Rd Ste 207, Chester, VA 23831-1468 | 2010-01-18 |
| 1154391571 | Stacey L Epps | Psychiatry & Neurology | 11601 Iron Bridge Rd, Suite 207, Chester, VA 23831-1466 | 2006-01-26 |
| 1609876168 | David Howard Sirken | Psychiatry & Neurology | 1 Medical Center Blvd Ste 232, Chester, PA 19013-3902 | 2005-07-27 |
| 1306462122 | Bon Secours - Richmond Community Hospital, Incorporated | Psychiatry & Neurology | 11601 Iron Bridge Rd Ste 207, Chester, VA 23831-1468 | 2020-06-17 |
| 1013364520 | Prospect Health Access Network, Inc. | Psychiatry & Neurology | 1 Medical Center Blvd, Acp Ste 533, Chester, PA 19013-3902 | 2016-05-16 |
| 1073902888 | Anne Arundel Physician Group, LLC | Psychiatry & Neurology | 1630 Main St, Chester, MD 21619-2791 | 2015-01-16 |
| 1821315631 | Arike Price | Psychiatry & Neurology | 1 Medical Center Blvd, Acp # 533, Chester, PA 19013-3902 | 2010-05-03 |
| 1497874622 | Health Access Network | Psychiatry & Neurology | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2007-03-28 |
| 1114041902 | Emily Choi Decroos | Psychiatry & Neurology | 1 Medical Center Blvd, Acp # 533, Chester, PA 19013-3902 | 2007-03-18 |
| 1447312020 | Richard I Malamut | Psychiatry & Neurology | 1 Medical Center Blvd, Suite Acp #533, Chester, PA 19013-3902 | 2006-12-14 |
| Find all providers in CHESTER | ||||
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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.