BON SECOURS-VIRGINIA HEALTHSOURCE INC (NPI# 1356567457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356567457 |
| Entity Type | Organization |
| Organization Name | BON SECOURS-VIRGINIA HEALTHSOURCE INC |
| Other Organization Name | TAPPAHANNOCK PRIMARY CARE |
| Practice Address |
1362 Tappahannock Blvd Tappahannock VA 22560-9309 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 8044435378 |
| Practice Fax Number | 8044439667 |
| Mailing Telephone | 8046275462 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | STEPHAN QUIRICONI (CFO) |
| Authorized Official Telephone | 8042818301 |
| Is Organization Subpart | Y |
| Parent Organization Name | BON SECOURS-VIRGINIA HEALTHSOURCE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Tappahannock Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
| 1487922183 | Bon Secours-virginia Healthsource Inc | Surgery | 5855 Bremo Rd Ste 506, Richmond, VA 23226-1925 | 2011-12-08 |
| 1194984633 | Bon Secours-virginia Healthsource Inc | Internal Medicine | 8266 Atlee Rd Ste 229, Mechanicsville, VA 23116-1811 | 2008-06-09 |
| 1972785053 | Bon Secours-virginia Healthsource Inc | Obstetrics & Gynecology | 8266 Atlee Rd Ste 215, Mechanicsville, VA 23116-1805 | 2007-11-30 |
| 1801829205 | Bon Secours-virginia Healthsource Inc | Internal Medicine | 1510 N 28th St Ste 308, Richmond, VA 23223-5311 | 2006-07-09 |
| 1205204286 | Bon Secours-virginia Healthsource Inc | Pharmacy | 8200 Meadowbridge Rd Ste 301, Mechanicsville, VA 23116 | 2015-09-09 |
| 1750701066 | Bon Secours-virginia Healthsource Inc | Pharmacy | 1500 N 28th St, Richmond, VA 23223 | 2014-04-25 |
| 1437457587 | Bon Secours-virginia Healthsource Inc | Surgery | 13700 St Francis Blvd, Mob- Suite 301, Midlothian, VA 23114 | 2011-03-14 |
| 1285667709 | Bon Secours-virginia Healthsource Inc | Internal Medicine | 13700 St Francis Blvd, Suite 510, Midlothian, VA 23114 | 2006-07-08 |
| Street Address |
1362 TAPPAHANNOCK BLVD |
| City | TAPPAHANNOCK |
| State | VA |
| Zip Code | 22560-9309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911684 | Pamela R Webb | Nurse Practitioner | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 | 2005-06-10 |
| 1194703355 | Allen Y Tsui | Family Medicine | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932668456 | Amy Annette Wilson | Nurse Practitioner | Tappahannock Primary Care, 1362 Tappahannock Blvd, Tappahannock, VA 22560 | 2019-03-14 |
| 1235655259 | Margaret Johnson | Driver | 145 Fernlea Road, Rte 628, Tappahannock, VA 22560 | 2017-08-22 |
| 1326576448 | Vanessa Burns | Specialist/Technologist | 109 Cross Street, Tappahannock, VA 22560 | 2017-06-02 |
| 1043756349 | Katherine Blake Slusser | Health Educator | 807 Wakefield Ave, Tappahannock, VA 22560 | 2017-01-10 |
| 1548716400 | New Century Hospice of Richmond, LLC | Hospice Care, Community Based | 221 Duke Street, Tappahannock, VA 22560 | 2016-08-31 |
| 1831513688 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1396 B Tappahannock Boulevard, Tappahannock, VA 22560 | 2014-02-14 |
| 1487946232 | Essex County Ems | Ambulance | 205 Cross St, Tappahannock, VA 22560 | 2011-05-12 |
| 1154611127 | Kristin M Smith | Pharmacist | 1840 Tappahannock Blvd, Tappahannock, VA 22560 | 2011-04-12 |
| 1790920684 | Tappahannock Rescue Squad, Inc | Ambulance | 303 Duke St, Tappahannock, VA 22560 | 2008-12-08 |
| 1841314440 | Essex Physical Therapy, Inc. | Physical Therapist | 900 South Church Ln, Tappahannock, VA 22560 | 2007-03-19 |
| Find all providers in zip 22560 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477666857 | Bruce Myron Bucher | Internal Medicine | 721 Charlotte St., Tappahannock, VA 22560-0547 | 2006-08-17 |
| 1003118068 | Yanela Margarita Duenas Milian | Internal Medicine | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2010-11-24 |
| 1407015126 | Alexander Oritseretsolaye Ogedegbe | Internal Medicine | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2008-06-06 |
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| 1316551237 | Pinnacle Healthcare Services, LLC | Internal Medicine | 8000 Towers Crescent Dr Ste 1350, Vienna, VA 22182-6236 | 2020-09-08 |
| 1588277396 | Amm Consulting Inc | Internal Medicine | 6123 Stegen Dr, Alexandria, VA 22310-2277 | 2020-08-31 |
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| 1376155648 | Mosaic Md, Pllc | Internal Medicine | 22365 Broderick Dr Ste 330, Sterling, VA 20166-9361 | 2020-08-18 |
| 1164030458 | Premier Health Consultants of Northern Virginia Inc | Internal Medicine | 1860 Town Center Dr Ste 260, Reston, VA 20190-5899 | 2020-07-22 |
| 1679199194 | Abyssinia Medical Center | Internal Medicine | 8200 Greensboro Dr Ste 910, Mc Lean, VA 22102-4931 | 2020-06-20 |
| 1902422587 | Naila T Rahman | Internal Medicine | 5416 3rd St S, Arlington, VA 22204-1114 | 2020-06-19 |
| Find all providers with the same taxonomy | ||||
| City | TAPPAHANNOCK |
| Zip Code | 22560 |
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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.