BON SECOURS DEPAUL MEDICAL CENTER INC (NPI# 1245467521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245467521 |
Entity Type | Organization |
Organization Name | BON SECOURS DEPAUL MEDICAL CENTER INC |
Other Organization Name | HAMPTON ROADS OB/GYN CENTER |
Practice Address |
100 Kingsley Ln Ste 100 Norfolk VA 23505-4604 |
Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
Practice Telephone | 7578896890 |
Practice Fax Number | 7578896893 |
Mailing Telephone | 8046275462 |
Mailing Fax Number | 8664490896 |
Enumeration Date | 2009-06-15 |
Last Update Date | 2019-05-16 |
Authorized Official Name | STEPHAN QUIRICONI (CFO) |
Authorized Official Telephone | 8042818301 |
Is Organization Subpart | Y |
Parent Organization Name | BON SECOURS DEPAUL MEDICAL CENTER INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Hampton Roads OB/GYN Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124438437 | Bon Secours Depaul Medical Center Inc | Family Medicine | 4211 Monarch Way, Norfolk, VA 23508-2540 | 2014-05-08 |
1205246519 | Bon Secours Depaul Medical Center Inc | Physical Medicine & Rehabilitation | 908 Eden Way N Ste 100, Chesapeake, VA 23320-3336 | 2014-05-08 |
1396172219 | Bon Secours Depaul Medical Center Inc | Family Medicine | 4241 E Little Creek Rd, Norfolk, VA 23518-3546 | 2013-10-09 |
1316182835 | Bon Secours Depaul Medical Center Inc | Internal Medicine | 100 Kingsley Ln Ste 400, Norfolk, VA 23505-4604 | 2008-12-12 |
1154521854 | Bon Secours Depaul Medical Center Inc | Internal Medicine | 828 Healthy Way Ste 220, Virginia Beach, VA 23462-7960 | 2007-07-20 |
1922202571 | Bon Secours Depaul Medical Center Inc | Family Medicine | 4421 Virginia Beach Blvd Ste 114, Virginia Beach, VA 23462-3114 | 2007-06-14 |
1215494380 | Bon Secours Depaul Medical Center Inc | Surgery | 930 W 21st St Ste 100, Norfolk, VA 23517-1516 | 2019-02-26 |
1437525359 | Bon Secours Depaul Medical Center Inc | General Acute Care Hospital | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2015-08-14 |
1144630450 | Bon Secours Depaul Medical Center Inc | Family Medicine | 4421 Virginia Beach Blvd Ste 114, Virginia Beach, VA 23462-3114 | 2014-05-08 |
1073955001 | Bon Secours Depaul Medical Center Inc | Radiology | 155 Kingsley Ln Ste 100, Norfolk, VA 23505-4630 | 2013-07-18 |
Street Address |
100 KINGSLEY LN STE 100 |
City | NORFOLK |
State | VA |
Zip Code | 23505-4604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
Find all providers in zip 23505 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396298873 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 6353 Center Dr Ste 100, Norfolk, VA 23502-4100 | 2016-08-01 |
1629211602 | Kristin Diana Kreider | Obstetrics & Gynecology | 880 Kempsville Rd Ste 2200, Norfolk, VA 23502-3990 | 2009-04-07 |
1477652626 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 100 Kingsley Ln Ste 200, Norfolk, VA 23505-4604 | 2006-09-22 |
1821008632 | Keisha L Burfoot | Obstetrics & Gynecology | 6161 Kempsville Cir Ste 340, Norfolk, VA 23502-3950 | 2006-08-08 |
1770527400 | Gynecology Associates Ltd Pllc | Obstetrics & Gynecology | 2810 Tidewater Dr., Norfolk, VI 23509 | 2006-06-15 |
1821051194 | Beth Ezzell Levin | Obstetrics & Gynecology | 825 Fairfax Ave Ste 310, Norfolk, VA 23507-1914 | 2006-04-08 |
1558331330 | David Fitzgerald Archer | Obstetrics & Gynecology | 601 Colley Ave, Norfolk, VA 23507-1627 | 2006-01-25 |
1770566481 | Tracy Thompson Thompson | Obstetrics & Gynecology | 1751 Morris St Bldg D-29, Box 168, Norfolk, VA 23511-2808 | 2005-11-28 |
1366433401 | James Scott Albin | Obstetrics & Gynecology | 2504 W Benjamin Ave, Norfolk, NE 68701-3120 | 2005-10-28 |
1295733244 | Charles A Wilkes | Obstetrics & Gynecology | 844 Kempsville Rd, Ste 208, Norfolk, VA 23502-3927 | 2005-07-13 |
Find all providers in NORFOLK |
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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.