BON SECOURS - RICHMOND COMMUNITY HOSPITAL, INCORPORATED (NPI# 1235582818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235582818 |
| Entity Type | Organization |
| Organization Name | BON SECOURS - RICHMOND COMMUNITY HOSPITAL, INCORPORATED |
| Other Organization Name | BON SECOURS RICHMOND COMMUNITY HOSPITAL CANCER INSTITUTE-MEDICAL ONC |
| Practice Address |
5875 Bremo Rd Suite 209 Richmond VA 23226 |
| Mailing Address |
5875 Bremo Rd Suite 209 Richmond VA 23226-1934 |
| Practice Telephone | 8042877804 |
| Practice Fax Number | 8042877178 |
| Mailing Telephone | 8042877804 |
| Mailing Fax Number | 8042877178 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2018-08-13 |
| Authorized Official Name | GEORGE O BUTLER (DIRECTOR CORPORATE RESPONSIBILITY) |
| Authorized Official Telephone | 8042810271 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | GROUP PTAN | C06778 | 01 |
| Other Name | Type Code |
|---|---|
| Bon Secours Richmond Community Hospital Cancer Institute-Medical Onc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265922314 | Bon Secours - Richmond Community Hospital, Incorporated | Pediatrics | 4744 Finlay St, Richmond, VA 23231 | 2018-05-15 |
| 1255586277 | Bon Secours - Richmond Community Hospital, Incorporated | Clinic/Center | 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231 | 2008-11-18 |
| 1306462122 | Bon Secours - Richmond Community Hospital, Incorporated | Psychiatry & Neurology | 11601 Iron Bridge Rd Ste 207, Chester, VA 23831-1468 | 2020-06-17 |
| 1841787868 | Bon Secours - Richmond Community Hospital, Incorporated | Internal Medicine | 9602 Patterson Ave, Richmond, VA 23229 | 2018-04-16 |
| 1255889648 | Bon Secours - Richmond Community Hospital, Incorporated | Internal Medicine | 5855 Bremo Rd, Suite 509, Richmond, VA 23226 | 2016-09-14 |
| 1932654886 | Bon Secours - Richmond Community Hospital, Incorporated | Obstetrics & Gynecology | 5875 Bremo Rd, Suite G-7, Richmond, VA 23226 | 2016-08-22 |
| 1437502994 | Bon Secours - Richmond Community Hospital, Incorporated | Pediatrics | 5855 Bremo Rd, Suite 605, Richmond, VA 23226 | 2016-07-20 |
| 1174853287 | Bon Secours - Richmond Community Hospital, Incorporated | Internal Medicine | 304 E Leigh St, Suite 300, Richmond, VA 23219 | 2010-01-12 |
| Street Address |
5875 BREMO RD SUITE 209 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730183484 | Gary Reuben Zeevi | Specialist | 5875 Bremo Rd, Mob South, Suite G-5, Richmond, VA 23226-1934 | 2005-06-10 |
| 1205486354 | Brianne Augusta Cohen | Nurse Practitioner | 5875 Bremo Rd, Mob South, Suite 209, Richmond, VA 23226 | 2019-09-19 |
| 1245729565 | Sarah Kathleen Agee | Registered Nurse | 5875 Bremo Rd, Richmond, VA 23226-1934 | 2018-05-02 |
| 1326572785 | Miranda Means | Physical Therapy Assistant | 5875 Bremo Rd, Suite 611, Richmond, VA 23226-1934 | 2017-04-12 |
| 1285168617 | Angela M. Denney Logan | Physical Therapist | 5875 Bremo Rd, Suite #611, Richmond, VA 23226-1934 | 2017-04-12 |
| 1679013205 | Rachel A Licklider | Social Worker | 5875 Bremo Rd, Suite 311, Richmond, VA 23226-1934 | 2017-03-01 |
| 1174072193 | Mona Kaur | Nurse Practitioner | 5875 Bremo Rd, Suite 311, Richmond, VA 23226-1934 | 2016-10-03 |
| 1932654886 | Bon Secours - Richmond Community Hospital, Incorporated | Obstetrics & Gynecology | 5875 Bremo Rd, Suite G-7, Richmond, VA 23226 | 2016-08-22 |
| 1568832541 | Tara Thompson | Nurse Practitioner | 5875 Bremo Rd, Suite 601, Richmond, VA 23226-1934 | 2015-10-02 |
| 1942602008 | Michael Quay Coggin | Nurse Practitioner | 5875 Bremo Rd, Mob South, Suite G-5, Richmond, VA 23226-1934 | 2014-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033625744 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 5875 Bremo Rd Ste 606, Richmond, VA 23226 | 2017-12-18 |
| 1922517028 | Karen Margaret Karwowski | Physical Therapist | 1901 Charles Street, Crestview Elementary School, Henrico, VA 23226 | 2017-09-21 |
| 1831636463 | Tammy A Lewis | Nurse Practitioner | 5803 Bremo Road, Richmond, VA 23226 | 2017-01-20 |
| 1497116438 | Ashton Williams | Counselor | 2008 Libbie Avenue, Suite 101, Richmond, VA 23226 | 2016-03-18 |
| 1396110078 | Nino Carlo Deleon | Dentist | 5500 Monument Ave Ste G, Richmond, VA 23226 | 2015-12-07 |
| 1083097794 | Amy Michelle Kruger | Podiatrist | 2008 Bremo Rd Ste 100, Richmond, VA 23226 | 2015-06-30 |
| 1841682762 | James Bryce Lothian | Pediatrics | 5875 Bremo Road, Mob South, Suite 303, Pediatric Lung Care, Richmond, VA 23226 | 2015-03-02 |
| 1811334980 | Carmen Wong | Physical Medicine & Rehabilitation | 1901 Libbie Ave, Richmond, VA 23226 | 2013-05-30 |
| 1841533890 | Lauren Etz Freeman | Nurse Practitioner | 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 | 2013-03-28 |
| 1609126044 | Tammy Denise Mills | Nurse Practitioner | 1501 Maple Ave Ste 301, Richmond, VA 23226 | 2012-09-13 |
| Find all providers in zip 23226 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144637786 | Toshihisa Satta | Internal Medicine | 1250 E Marshall St # 980509, Richmond, VA 23298-5051 | 2014-07-15 |
| 1013280544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 5875 Bremo Rd Ste G11, Mob South, Richmond, VA 23226-1934 | 2012-02-14 |
| 1497906903 | Martin Horenstein | Internal Medicine | 3501 Falstone Rd, Richmond, VA 23234-3721 | 2008-10-02 |
| 1619170461 | Virginia Physicians, Inc. | Internal Medicine | 1423 Johnston Willis Dr, Richmond, VA 23235-4730 | 2007-06-08 |
| 1598802852 | Jeevan Sekhar | Internal Medicine | 1607 Chester Blvd, Richmond, IN 47374-1610 | 2007-01-30 |
| 1205887270 | Bruce O Hough | Internal Medicine | 6505 W Broad St Ste A, Richmond, VA 23230-2013 | 2006-05-15 |
| 1568421568 | Anna Rozaki Sismanis | Internal Medicine | 8919 Three Chopt Rd, 2nd Floor, Richmond, VA 23229-4659 | 2006-03-20 |
| 1366448664 | William Joseph John | Internal Medicine | 789 Eastern Byp, Ste 25, Richmond, KY 40475-2421 | 2005-06-22 |
| 1629073473 | Elke K Friedman | Internal Medicine | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2005-06-17 |
| 1548743768 | Hem-onc Staffing Solutions, LLC | Internal Medicine | 6605 W Broad St, Richmond, VA 23230-1714 | 2018-09-13 |
| Find all providers in RICHMOND | ||||
Please comment or provide details below to improve the information on BON SECOURS - RICHMOND COMMUNITY HOSPITAL, INCORPORATED.
| 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.