BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC


Address: 3640 High St Ste 1f, Portsmouth, VA 23707-3213
Phone: 7572153565

BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC (NPI# 1174164578) 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) 1174164578
Entity Type Organization
Organization Name BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC
Other Organization Name BON SECOURS ANESTHESIOLOGY GROUP
Practice Address 3640 High St Ste 1f
Portsmouth
VA 23707-3213
Mailing Address 8580 Magellan Pkwy
Richmond
VA 23227-1149
Practice Telephone 7572153565
Practice Fax Number 7573978026
Mailing Fax Number 8664490896
Enumeration Date 2019-10-07
Last Update Date 2019-10-07
Authorized Official Name STEPHEN JONES (VP OPERATIONS)
Authorized Official Telephone 7572152713
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
BON SECOURS ANESTHESIOLOGY GROUP Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1114542453 Bon Secours Medical Group Hampton Roads Specialty Care LLC Orthopaedic Surgery 6 Doctors Dr, Emporia, VA 23847-1240 2020-06-12
1023633369 Bon Secours Medical Group Hampton Roads Specialty Care LLC Orthopaedic Surgery 3920 Bridge Rd Ste 305, Suffolk, VA 23435-1107 2020-06-12
1932724275 Bon Secours Medical Group Hampton Roads Specialty Care LLC Orthopaedic Surgery 2790 Godwin Blvd Ste 320, Suffolk, VA 23434-8174 2020-06-12
1205451028 Bon Secours Medical Group Hampton Roads Specialty Care LLC Orthopaedic Surgery 210 Fairview Dr Ste A, Franklin, VA 23851-1216 2020-06-09
1629637475 Bon Secours Medical Group Hampton Roads Specialty Care LLC Internal Medicine 8580 Magellan Pkwy, Richmond, VA 23227-1149 2019-06-06

Office Location

Street Address 3640 HIGH ST STE 1F
City PORTSMOUTH
State VA
Zip Code 23707-3213

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508410382 Ricky Lee Key Sr. Counselor Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 2019-07-30
1528627965 Amy M Baker Student in an Organized Health Care Education/Training Program 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 2019-06-10
1033774625 Himani Bhasin Student in an Organized Health Care Education/Training Program 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 2019-05-08
1851854442 Emma Daymond Student in an Organized Health Care Education/Training Program 3640 High Street, Suite 2f, Portsmouth, VA 23707 2019-04-10
1407329543 Heart Harmony Home Health and Services Home Health 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 2019-01-10
1548780869 A. Richards Counseling & Psychotherapy, LLC Substance Abuse Rehabilitation Facility 720 Rodman Ave., Portsmouth, VA 23707 2017-06-27
1316485196 Melinda Macy Occupational Therapy Assistant 314 Florida Ave, Portsmouth, VA 23707 2017-02-01
1831526045 Anointed and Blessed Home Health Care, LLC Home Health 806 Loudoun Ave, Portsmouth, VA 23707 2013-10-02
1639236284 The Center for Pain Management Clinic/Center 3315 High Street, Portsmouth, VA 23707 2007-01-02
1750444741 Wal-mart Stores East, Lp Technician/Technologist 1098 Fredrick Blvd, Portsmouth, VA 23707 2006-12-19
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Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740250844 Richard P Serianni Anesthesiology John Paul Jones Circle, Portsmouth, VA 23708-0001 2006-01-23
1396715413 Nolan Charles Babcock Anesthesiology Dept. Anesthesiology, Naval Medical Center Portsmouth, Portsmouth, VA 23708 2006-01-23
1831179084 Mark R. Fantauzzi Anesthesiology 1219 Findlay St, Portsmouth, OH 45662-3449 2006-01-21
1093792814 David L Kay Anesthesiology 3200 Tyre Neck Rd Ste 101, Portsmouth, VA 23703 2005-12-22
1457347791 Katrina Brown Briggs Anesthesiology 1901 Argonne Rd, Portsmouth, OH 45662-2827 2005-09-22
1306847710 Andrew Joseph Kulesza Anesthesiology 333 Borthwick Ave, Portsmouth, NH 03801-7128 2005-08-09
1275999856 Jason Kopp Anesthesiology 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2016-01-12
1255750527 Anthony Steven Bradley Jr. Anesthesiology 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2014-04-15
1598182693 Gregory Booth Anesthesiology 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2014-03-26
1437597697 American Pain Institute LLC Anesthesiology 14 Manchester Sq, Suite 290, Portsmouth, NH 03801-8001 2013-06-10
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City PORTSMOUTH
Zip Code 23707

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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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