BON SECOURS DEPAUL MEDICAL CENTER (NPI# 1326181413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326181413 |
| Entity Type | Organization |
| Organization Name | BON SECOURS DEPAUL MEDICAL CENTER |
| Other Organization Name | THE WOUND CARE & HYPERBARIC OXYGEN CENTER |
| Practice Address |
150 Kingsley Ln Norfolk VA 23505-4602 |
| Practice Telephone | 7578892300 |
| Practice Fax Number | 7578895019 |
| Mailing Telephone | 7578892300 |
| Mailing Fax Number | 7578895019 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2011-07-27 |
| Authorized Official Name | MICHAEL K KERNER (CEO) |
| Authorized Official Telephone | 7576735929 |
| Is Organization Subpart | Y |
| Parent Organization Name | BON SECOURS DEPAUL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Wound Care & Hyperbaric Oxygen Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336520618 | Bon Secours Depaul Medical Center | Family Medicine | 309 Battlefield Blvd S, Chesapeake, VA 23322-5311 | 2015-06-12 |
| 1740618412 | Bon Secours Depaul Medical Center | Internal Medicine | 400 Gresham Dr, Suite 808, Norfolk, VA 23507-1901 | 2013-10-16 |
| 1548520315 | Bon Secours Depaul Medical Center | Otolaryngology | 100 Kingsley Ln, Suite 404, Norfolk, VA 23505-4604 | 2012-05-25 |
| 1619251337 | Bon Secours Depaul Medical Center | Family Medicine | 1020 Independence Blvd, Suite 305, Virginia Beach, VA 23455-5500 | 2011-09-29 |
| 1366725160 | Bon Secours Depaul Medical Center | Internal Medicine | 1020 Independence Blvd, Sutie 206, Virginia Beach, VA 23455-5500 | 2011-09-28 |
| 1669779252 | Bon Secours Depaul Medical Center | Pain Medicine | 4445 Corporation Ln, Suite 120, Virginia Beach, VA 23462-3262 | 2011-02-17 |
| 1881998771 | Bon Secours Depaul Medical Center | Internal Medicine | 142 W York St, Suite 508, Norfolk, VA 23510-2015 | 2011-01-06 |
| 1457505711 | Bon Secours Depaul Medical Center | Internal Medicine | 5301 Providence Rd, Suite 90, Virginia Beach, VA 23464-4128 | 2008-11-12 |
| 1316119332 | Bon Secours Depaul Medical Center | Internal Medicine | 6161 Kempsville Cir, Suite 335, Norfolk, VA 23502-3932 | 2008-03-31 |
| Street Address |
150 KINGSLEY LN |
| City | NORFOLK |
| State | VA |
| Zip Code | 23505-4602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812785 | Patrick B. Higdon | Family Medicine | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2005-06-27 |
| 1497385033 | Jennifer L Lemasters-stover | Nurse Practitioner | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2020-01-23 |
| 1356813083 | Sarah West Taylor | Clinical Nurse Specialist | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2018-12-19 |
| 1619443009 | Amarachi G Agbai | Registered Nurse | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2018-10-23 |
| 1043795867 | Lindsey Reprogle | Physician Assistant | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2018-09-27 |
| 1528549219 | Chika I Ogbolu | Nurse Practitioner | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2018-08-22 |
| 1457846024 | Gia Martin | Nurse Practitioner | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2018-06-26 |
| 1295237477 | Shannon Coulson | Nurse Practitioner | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2018-03-05 |
| 1053834960 | Kathryn Alise Gale | Nurse Practitioner | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2017-07-23 |
| 1881139434 | Corinna Brander | Nurse Practitioner | 150 Kingsley Ln, Neuroscience Office, Norfolk, VA 23505-4602 | 2017-01-05 |
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| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922116201 | Thomas Hall Ragsdale | Plastic Surgery | 160 Kingsley Lane, Suite 203, Norfolk, VA 23517 | 2006-08-28 |
| 1588660880 | Richard Scott Rosenblum | Plastic Surgery | 400 W Brambleton Ave, Ste 103, Norfolk, VA 23510-1115 | 2005-06-22 |
| 1528245297 | Jesus Gil Belen Inciong | Plastic Surgery | 400 W Brambleton Ave, Suite 301, Norfolk, VA 23510-1115 | 2008-01-24 |
| 1952503161 | Guy Trengove-jones | Plastic Surgery | 100 Kingsley Ln, Suite 302, Norfolk, VA 23505-4604 | 2007-06-01 |
| 1851491021 | Guy Trengove-jones, M.d., P.C. | Plastic Surgery | 100 Kingsley Ln, Suite 302, Norfolk, VA 23505-4604 | 2006-09-25 |
| 1083678163 | Robert F Brewer | Plastic Surgery | 150 Kingsley Ln, Hyperbaric Wound Center, Norfolk, VA 23505-4602 | 2006-04-14 |
| 1699769562 | Douglas R Trzcinski | Plastic Surgery | 600 Gresham Dr Ste 204, Norfolk, VA 23507-1904 | 2005-09-07 |
| 1912905852 | Ivor Barry Kaplan | Plastic Surgery | 400 W Brambleton Ave, Suite 103, Norfolk, VA 23510-1115 | 2005-07-13 |
| 1689670283 | William Preston Magee Jr. | Plastic Surgery | 400 W Brambleton Ave, Ste 103, Norfolk, VA 23510-1115 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734595 | Maia Plastic Surgery | Plastic Surgery | 8100 Boone Boulevard, Suite 730, Tysons Corner, VA 22182-2688 | 2020-06-10 |
| 1477026227 | Parva Plastic Reconstructive Surgery LLC | Plastic Surgery | 224d Cornwall St Nw Ste 300, Leesburg, VA 20176-2704 | 2019-01-04 |
| 1669975355 | Sarah Elizabeth Burchett | Plastic Surgery | 8730 Stony Point Pkwy Ste 120, Richmond, VA 23235-1959 | 2018-03-09 |
| 1861900110 | Jules A. Feledy, Jr., Md., Pllc | Plastic Surgery | 2071 Jefferson Davis Hwy, Stafford, VA 22554-7266 | 2018-01-19 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1376068577 | Congressional Plastic Surgery, Inc. | Plastic Surgery | 8501 Arlington Blvd Ste 310, Fairfax, VA 22031-4625 | 2017-08-08 |
| 1710377189 | James Latane Ware | Plastic Surgery | 4103 Summit Ln, Richmond, VA 23221-3710 | 2015-01-23 |
| 1235483348 | Joseph Mitchell Jabbour | Plastic Surgery | 22071 Sam Fred Rd, Middleburg, VA 20117-3201 | 2012-10-29 |
| 1386907400 | Lewis Plastic Surgery, PC | Plastic Surgery | 2331a Robious Station Circle, Midlothian, VA 23113-4730 | 2012-06-22 |
| 1922377696 | Glenn Harvey Shepard | Plastic Surgery | 36 Barclay Rd, Newport News, VA 23606-1465 | 2011-12-23 |
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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.