BON SECOURS ST. FRANCIS MEDICAL CENTER INC (NPI# 1336459171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336459171 |
| Entity Type | Organization |
| Organization Name | BON SECOURS ST. FRANCIS MEDICAL CENTER INC |
| Other Organization Name | CHARTER COLONY FAMILY PRACTICE |
| Practice Address |
13700 St Francis Blvd Ste 302 Midlothian VA 23114-3222 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 8044235050 |
| Practice Fax Number | 8044235048 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | STEPHAN QUIRICONI (CFO) |
| Authorized Official Telephone | 8042818301 |
| Is Organization Subpart | Y |
| Parent Organization Name | BON SECOURS ST. FRANCIS MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | GROUP PTAN | C09633 | 01 |
| Other Name | Type Code |
|---|---|
| CHARTER COLONY FAMILY PRACTICE | Doing Business As Name - Organization |
| Charter Colony Family Practice - Bon Secours Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215278973 | Bon Secours St. Francis Medical Center Inc | Obstetrics & Gynecology | 13700 St Francis Blvd Ste 305, Midlothian, VA 23114-3222 | 2013-03-06 |
| 1518244854 | Bon Secours St. Francis Medical Center Inc | Internal Medicine | 3660 Boulevard Ste G, Colonial Heights, VA 23834-1345 | 2011-11-15 |
| 1891071965 | Bon Secours St. Francis Medical Center Inc | Pediatrics | 3452 Anderson Hwy Ste D, Powhatan, VA 23139-5845 | 2011-11-02 |
| 1306120175 | Bon Secours St. Francis Medical Center Inc | Clinic/Center | 601 Watkins Centre Pkwy Ste 100, Midlothian, VA 23114-4412 | 2011-09-28 |
| 1811228711 | Bon Secours St. Francis Medical Center Inc | Psychiatry & Neurology | 11601 Iron Bridge Rd Ste 207, Chester, VA 23831-1468 | 2010-01-18 |
| 1083841936 | Bon Secours St. Francis Medical Center Inc | Surgery | 13700 St Francis Blvd Ste 303, Midlothian, VA 23114-3222 | 2009-06-18 |
| 1427293133 | Bon Secours St. Francis Medical Center Inc | Surgery | 601 Watkins Centre Pkwy Ste 200, Midlothian, VA 23114-0002 | 2008-12-09 |
| 1003849381 | Bon Secours St. Francis Medical Center Inc | Advanced Practice Midwife | 13700 St Francis Blvd Ste 510, Midlothian, VA 23114-3223 | 2006-07-09 |
| 1285141556 | Bon Secours St. Francis Medical Center Inc | Family Medicine | 2500 Pocoshock Pl, North Chesterfield, VA 23235-6345 | 2018-01-08 |
| Street Address |
13700 ST FRANCIS BLVD STE 302 |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23114-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122162 | Jotava | In Home Supportive Care | 1607 Titanium Avenue, 202, Midlothian, VA 23114 | 2020-10-20 |
| 1104393735 | Shelley Hurwitz | Occupational Therapist | 13800 Bon Secours Drive, Midlothian, VA 23114 | 2018-11-01 |
| 1316412182 | Snehal Manmeet Mahajan | Physical Therapist | 13800 Bon Secours Dr., Midlothian, VA 23114 | 2018-10-09 |
| 1154814796 | Bon Secours St Francis Medical Center Inc. | Clinic/Center | 13700 St Francis Blvd Ste 105, Midlothian, VA 23114 | 2018-06-08 |
| 1023516630 | Leah Reed | Occupational Therapist | 13800 Bon Secours Dr, Midlothian, VA 23114 | 2018-01-29 |
| 1689122012 | Momentum Counseling and Wellness LLC | Social Worker | 431 Walton Park Road, Midlothian, VA 23114 | 2016-09-14 |
| 1750765996 | Arlene Roper | Physical Therapy Assistant | 1700 Redbourne Ct, Apt 101, Midlothian, VA 23114 | 2015-07-17 |
| 1518353937 | Tamaika Floy | Podiatrist | 611 Watkins Centre Pkwy Ste 170, Midlothian, VA 23114 | 2015-04-13 |
| 1760790489 | Markita Wolf | Psychologist | 831 Grove Rd Ste C, Midlothian, VA 23114 | 2010-09-15 |
| 1306153119 | Jacinda Beth Chaisson | Physical Therapist | 13700 St. Francis Blvd., Suite 103, Midlothian, VA 23114 | 2010-09-01 |
| Find all providers in zip 23114 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790311603 | Rachell Alissia Sullivan | Family Medicine | 6010 Park View Dr, Midlothian, TX 76065-8933 | 2020-03-23 |
| 1376176586 | Jessie Cheng | Family Medicine | 381 Crofton Village Ter, Midlothian, VA 23114-4750 | 2020-02-16 |
| 1659840981 | Rachel Bailey | Family Medicine | 4421 Stigall Dr, Midlothian, VA 23112-3217 | 2018-11-15 |
| 1326546151 | Bellgrade Medical | Family Medicine | 2621 Promenade Pkwy Ste 101, Midlothian, VA 23113-4905 | 2018-01-26 |
| 1861845844 | Ekaterina Bratysheva | Family Medicine | 13540 Hull Street Road, Midlothian, VA 23112 | 2016-07-14 |
| 1437534864 | Mark Merritt | Family Medicine | 32 Spinnaker Cove Dr, Midlothian, VA 23112-2131 | 2015-07-27 |
| 1902218852 | Katherine Pederson | Family Medicine | 2230 Bryan Pl Ste 200, Midlothian, TX 76065 | 2014-05-27 |
| 1902248941 | Virginia Physicians,inc | Family Medicine | 11301 Polo Pl, Suite B, Midlothian, VA 23113-4803 | 2013-07-18 |
| 1821309675 | Elias Flores Lara Jr. | Family Medicine | 151 Walton Way Ste 107, Midlothian, TX 76065-8010 | 2010-06-27 |
| 1588847610 | Travis Gregory Brown | Family Medicine | 423 E Main St Ste 3, Midlothian, TX 76065-3345 | 2007-12-12 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 23114 |
Please comment or provide details below to improve the information on BON SECOURS ST. FRANCIS MEDICAL CENTER INC.
| 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.