BON SECOURS VIRGINIA MEDICAL GROUP I, LLC (NPI# 1356778294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356778294 |
| Entity Type | Organization |
| Organization Name | BON SECOURS VIRGINIA MEDICAL GROUP I, LLC |
| Other Organization Name | BON SECOURS PEDIATRIC INFECTIOUS DISEASE CLINIC |
| Practice Address |
5875 Bremo Rd Suite 303 Richmond VA 23226-1934 |
| Practice Telephone | 8042818303 |
| Practice Fax Number | 8042877801 |
| Mailing Telephone | 8042818303 |
| Mailing Fax Number | 8042877801 |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |
| Authorized Official Name | GEORGE BUTLER (DIRECTOR CORPORATE RESPONSIBILIITY) |
| Authorized Official Telephone | 8042810271 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bon Secours Pediatric Infectious Disease Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912334814 | Bon Secours Virginia Medical Group I, LLC | Psychologist | 8220 Meadowbridge Rd # Mobi, Suite 308, Mechanicsville, VA 23116-2336 | 2013-10-09 |
| 1013344944 | Bon Secours Virginia Medical Group I, LLC | Internal Medicine | 5855 Bremo Rd, Suite 102, Richmond, VA 23226-1930 | 2013-10-10 |
| 1568899409 | Bon Secours Virginia Medical Group I, LLC | Dermatology | 5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2624 | 2013-10-10 |
| 1821425760 | Bon Secours Virginia Medical Group I, LLC | Dentist | 6900 Forest Ave, Suite 110, Richmond, VA 23230-1729 | 2013-10-10 |
| 1538596473 | Bon Secours Virginia Medical Group I, LLC | Psychologist | 5855 Bremo Rd, Suite 404, Richmond, VA 23226-1930 | 2013-10-10 |
| 1740617679 | Bon Secours Virginia Medical Group I, LLC | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| 1013344951 | Bon Secours Virginia Medical Group I, LLC | Psychiatry & Neurology | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| 1730516675 | Bon Secours Virginia Medical Group I, LLC | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| 1619304557 | Bon Secours Virginia Medical Group I, LLC | Pediatrics | 5875 Bremo Rd, Suite 303, Richmond, VA 23226-1934 | 2013-10-10 |
| 1982031829 | Bon Secours Virginia Medical Group I, LLC | Obstetrics & Gynecology | 8239 Meadowbridge Rd, Suite A, Mechanicsville, VA 23116-2318 | 2013-10-10 |
| Street Address |
5875 BREMO RD SUITE 303 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23226-1934 |
| 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 |
| 1235582818 | Bon Secours - Richmond Community Hospital, Incorporated | Internal Medicine | 5875 Bremo Rd, Suite 209, Richmond, VA 23226 | 2016-07-19 |
| 1568832541 | Tara Thompson | Nurse Practitioner | 5875 Bremo Rd, Suite 601, Richmond, VA 23226-1934 | 2015-10-02 |
| 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 | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174884589 | Emily J Godbout | Pediatrics | 1000 E Broad St, Richmond, VA 23219-1930 | 2012-06-01 |
| 1215216387 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Pediatrics | 5875 Bremo Rd Ste 303, Mob South, Richmond, VA 23226-1934 | 2011-08-08 |
| 1609196013 | Jeffrey R. Donowitz | Pediatrics | 1000 E Broad St, Richmond, VA 23298-1930 | 2010-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912283292 | Murray Macintyre Lumpkin | Pediatrics | 950 Devils Knob Loop, Rural Route 1, Box 568, Roseland, VA 22967-8083 | 2011-10-31 |
| 1881834992 | Lisa J Nelson | Pediatrics | 2330 Maputo Pl, Dulles, VA 20189-2330 | 2009-03-02 |
| 1588752398 | Daniel Edward Keim | Pediatrics | 2720 Prosperity Ave Ste D, Fairfax, VA 22031-4360 | 2006-10-10 |
| 1053316034 | Edward Stephen Buescher | Pediatrics | 855 W Brambleton Ave, Norfolk, VA 23510-1005 | 2005-06-16 |
| 1033432539 | Julie-ann M Crewalk | Pediatrics | 2730-c Prosperity Avenue, Fairfax, VA 22031 | 2010-03-11 |
| 1962639211 | Andres Esteban Alarcon | Pediatrics | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2009-06-14 |
| 1841461266 | Fairfax Neonatal Associates, P.C. | Pediatrics | 2730-c Prosperity Avenue, Fairfax, VA 22031 | 2008-03-13 |
| 1942343660 | Debbie-ann T. Shirley | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2007-02-14 |
| 1730275314 | Steven L. Zeichner | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2006-10-04 |
| 1912941972 | David P Ascher | Pediatrics | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2006-06-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BON SECOURS VIRGINIA MEDICAL GROUP I, LLC.
| 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.