BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER


Address: 8266 Atlee Rd, Mob II Suite 219, Mechanicsville, VA 23116-1804
Phone: 8047646247

BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER (NPI# 1144526328) 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) 1144526328
Entity Type Organization
Organization Name BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
Other Organization Name FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY- BSMG
Practice Address 8266 Atlee Rd
Mob II Suite 219
Mechanicsville
VA 23116-1804
Practice Telephone 8047646247
Practice Fax Number 8047646257
Mailing Telephone 8047646247
Mailing Fax Number 8047646257
Enumeration Date 2011-02-04
Last Update Date 2011-02-24
Authorized Official Name GEORGE O BUTLER (DIR. CORP RESPONSIBILITIES)
Authorized Official Telephone 8042810271
Is Organization Subpart Y
Parent Organization Name BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
Parent Organization TIN

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA GROUP PTAN C06115 01

Other Provider/Organization Names

Other Name Type Code
Female Pelvic Medicine and Reconstructive Surgery- BSMG Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1225263940 Bon Secours Memorial Regional Medical Center Internal Medicine 8266 Atlee Rd Ste 332, Mechanicsville, VA 23116-1812 2009-05-26
1962705061 Bon Secours Memorial Regional Medical Center Family Medicine 304 E Leigh St, Richmond, VA 23219-1410 2010-12-10
1730416579 Bon Secours Memorial Regional Medical Center Psychiatry & Neurology 1500 N 28th St, 3rd Floor, Richmond, VA 23223-5332 2009-11-16
1962642918 Bon Secours Memorial Regional Medical Center Thoracic Surgery (Cardiothoracic Vascular Surgery) 8220 Meadowbridge Rd, Mob I, Suite 306, Mechanicsville, VA 23116-2336 2009-03-04
1962410357 Bon Secours Memorial Regional Medical Center Family Medicine 8580 Magellan Pkwy, Bldg 4, Richmond, VA 23227-1149 2006-08-03

Office Location

Street Address 8266 ATLEE RD
MOB II SUITE 219
City MECHANICSVILLE
State VA
Zip Code 23116-1804

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013903723 Paul Frederick Duckworth Jr. Internal Medicine 8266 Atlee Rd, Suite 133, Mechanicsville, VA 23116-1804 2005-09-27
1043855265 Lauren W Turner Clinical Nurse Specialist 8266 Atlee Rd, Mechanicsville, VA 23116-1804 2019-11-12
1205371788 Tuckahoe Orthopaedic Associates, Ltd Orthopaedic Surgery 8266 Atlee Rd, Suite 125, Mob II, Mechanicsville, VA 23116-1804 2016-12-20
1548660061 Bon Secours-st. Mary's Hospital of Richmond, Inc. Internal Medicine 8266 Atlee Rd, Mechanicsville, VA 23116-1804 2014-09-03
1114326600 Patricia Lynn Denardis Physical Therapist 8266 Atlee Rd, Mechanicsville, VA 23116-1804 2014-08-20
1598192437 Bon Secours Virginia Medical Group II, LLC Obstetrics & Gynecology 8266 Atlee Rd, Suite 215, Mechanicsville, VA 23116-1804 2013-10-10
1326475542 Bon Secours Virginia Medical Group I, LLC Obstetrics & Gynecology 8266 Atlee Rd, Suite 219, Mechanicsville, VA 23116-1804 2013-10-02
1679905459 Joshua Barretto Mendoza Physical Therapist 8266 Atlee Rd, Suite 133pt, Mechanicsville, VA 23116-1804 2013-08-05
1912259953 Jana Hanny Nurse Practitioner 8266 Atlee Rd, Suite 225, Mechanicsville, VA 23116-1804 2012-10-14
1891041042 Lauren Ruth Alloway Physical Therapist 8266 Atlee Rd, Suite 133, Mechanicsville, VA 23116-1804 2012-07-25
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578746665 Raymonda Barbour Ryce Obstetrics & Gynecology 8239 Meadowbridge Rd Ste A, Mechanicsville, VA 23116-2318 2007-12-11
1134103781 Monica M. Powers Obstetrics & Gynecology 7515 Right Flank Rd, Mechanicsville, VA 23116-3818 2005-12-06
1689658502 Kimberly M. Galgano Obstetrics & Gynecology 7515 Right Flank Road, Mechanicsville, VA 23116-3818 2005-12-05
1982031829 Bon Secours Virginia Medical Group I, LLC Obstetrics & Gynecology 8239 Meadowbridge Rd, Suite A, Mechanicsville, VA 23116-2318 2013-10-10
1609212265 Rachel Northeim Kreis Obstetrics & Gynecology 7515 Right Flank Rd, Mechanicsville, VA 23116-3818 2013-05-22
1780948083 Bon Secours St. Francis Medical Center, Inc. Obstetrics & Gynecology 8239 Meadowbridge Rd, Suite A, Mechanicsville, VA 23116-2318 2012-07-02
1790070423 Christina Padilla Mcwhorter Obstetrics & Gynecology 7515 Right Flank Rd, Mechanicsville, VA 23116-3818 2011-06-10
1578721155 Lina Maria Millan Obstetrics & Gynecology 7515 Right Flank Road, Mechanicsville, VA 23116 2008-05-29
1851582514 Jessica Louise Maute Obstetrics & Gynecology 7515 Right Flank Rd, Mechanicsville, VA 23116-3818 2007-08-07
1649488347 Amie Yvette Miklavcic Obstetrics & Gynecology 7515 Right Flank Road, Mechanicsville, VA 23116-3818 2007-05-18
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City MECHANICSVILLE
Zip Code 23116

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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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