BON SECOURS DEPAUL MEDICAL CENTER (NPI# 1366725160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366725160 |
| Entity Type | Organization |
| Organization Name | BON SECOURS DEPAUL MEDICAL CENTER |
| Other Organization Name | NORMA OLLER MAGPOC, MD |
| Practice Address |
1020 Independence Blvd Sutie 206 Virginia Beach VA 23455-5500 |
| Practice Telephone | 7574640909 |
| Practice Fax Number | 7574641711 |
| Mailing Telephone | 7574640909 |
| Mailing Fax Number | 7574641711 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2012-04-02 |
| 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 | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Norma Oller Magpoc, MD | 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 |
| 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 |
| 1326181413 | Bon Secours Depaul Medical Center | Plastic Surgery | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2007-02-15 |
| Street Address |
1020 INDEPENDENCE BLVD SUTIE 206 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23455-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669473260 | Michelle Elizabeth Kingsbury | Family Medicine | 1020 Independence Blvd, #103, Virginia Beach, VA 23455-5500 | 2005-08-03 |
| 1912367327 | Kathleen Dring, Jd, Psyd, Pllc | Clinic/Center | 1020 Independence Blvd, Suite 214, Virginia Beach, VA 23455-5500 | 2016-02-26 |
| 1477935682 | Atlantic Neurosurgery PC | Neurological Surgery | 1020 Independence Blvd, Suite 210, Virginia Beach, VA 23455-5500 | 2015-06-24 |
| 1023499647 | Jeannie Ha Cole | Physician Assistant | 1020 Independence Blvd, Suite 110, Virginia Beach, VA 23455-5500 | 2015-06-10 |
| 1427438373 | Gastrointestinal and Liver Specialists of Tidewater, Pllc | Physician Assistant | 1020 Independence Blvd, Suite 110, Virginia Beach, VA 23455-5500 | 2015-06-05 |
| 1346585395 | Ahmed A. Rahman, M.d. P.c | Surgery | 1020 Independence Blvd, Suite 308, Virginia Beach, VA 23455-5500 | 2012-12-03 |
| 1619251337 | Bon Secours Depaul Medical Center | Family Medicine | 1020 Independence Blvd, Suite 305, Virginia Beach, VA 23455-5500 | 2011-09-29 |
| 1700017290 | Kathleen Dring, Pllc | Psychologist | 1020 Independence Blvd, Ste. 214, Virginia Beach, VA 23455-5500 | 2009-07-31 |
| 1255577235 | Norma O. Magpoc, M.d., P.C. | Internal Medicine | 1020 Independence Blvd, Suite 206, Virginia Beach, VA 23455-5500 | 2008-12-23 |
| 1255594867 | Albert M. Dickson Md | Family Medicine | 1020 Independence Blvd, Ste 104, Virginia Beach, VA 23455-5500 | 2008-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324162 | Evoscient Gynecology Center for Pelvic Health and Surgery, PC | Obstetrics & Gynecology | 108 Independence Blvd, Suite 162, Virginia Beach, VA 23455 | 2020-07-24 |
| 1942728571 | Delois L Dillard | Occupational Therapy Assistant | 4225 Shore Drive, Virginia Beach, VA 23455 | 2017-09-04 |
| 1295255404 | Unobs Medical Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5812 Tajo Avenue, Virginia Beach, VA 23455 | 2017-06-20 |
| 1831640812 | Wearefit | Dietitian, Registered | 4752 Hollis Road, Virginia Beach, VA 23455 | 2016-10-14 |
| 1629496633 | Jamie Lauren Dermatis | Podiatrist | 1700 Pleasure Road, #101, Virginia Beach, VA 23455 | 2014-04-07 |
| 1619304664 | Syed A Absar | Pharmacist | 4828 Lake Bradford Lane, Virginia Beach, VA 23455 | 2013-10-07 |
| 1851734958 | Cara K Richardson | Occupational Therapist | 2364 Madison Ave., Virginia Beach, VA 23455 | 2013-04-09 |
| 1811249287 | Chl & Associates | Nurse Practitioner | 1367 Sir Richard Rd, Virginia Beach, VA 23455 | 2012-10-10 |
| 1588915425 | Edward S Wilson | Physician Assistant | 604 Bishop Dr, Virginia Beach, VA 23455 | 2012-10-01 |
| 1073886842 | April Gilbrech | Registered Nurse | 1103 Canopy Ct, Virginia Beach, VA 23455 | 2012-02-09 |
| Find all providers in zip 23455 | ||||
| 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 |
|---|---|---|---|---|
| 1629422423 | Paris Ethan Pacheco | Internal Medicine | 1168 First Colonial Rd Ste 200, Virginia Beach, VA 23454-2444 | 2016-04-18 |
| 1477991529 | Leonardo Martin Oliva | Internal Medicine | 1060 First Colonial Rd Fl 1, Virginia Beach, VA 23454-3002 | 2013-06-11 |
| 1982940482 | Hilltop Healthcare LLC | Internal Medicine | 2132 Retreat Ct, Virginia Beach, VA 23454-2256 | 2013-01-02 |
| 1992071096 | Ravinderpal K Gill | Internal Medicine | 2901 S Lynnhaven Rd Ste 450, Virginia Beach, VA 23452 | 2012-03-22 |
| 1881962645 | Bert Wellington Holmes IIi | Internal Medicine | 1253 Nimmo Pkwy, Suite 110, Virginia Beach, VA 23456-7782 | 2011-12-08 |
| 1831483445 | Stella Alice Goings | Internal Medicine | 3908 Lake Front Cir, Suite 201, Virginia Beach, VA 23452-2712 | 2011-06-01 |
| 1063722510 | David S Haden Md PC | Internal Medicine | 5505 Indian River Rd Ste 101, Virginia Beach, VA 23464-5252 | 2010-10-18 |
| 1710293212 | Tidewater Integrative Health PC | Internal Medicine | 802 North Newtown Rd, Virginia Beach, VA 23462-1116 | 2010-08-23 |
| 1821316688 | Brian Joseph Lipps | Internal Medicine | 3074 Brickhouse Ct, Virginia Beach, VA 23452-6859 | 2010-05-04 |
| 1851627129 | Amy Marie Goodrich-harris | Internal Medicine | 2008 Winding Lake Ct, Virginia Beach, VA 23456-6305 | 2009-10-21 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23455 |
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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.