BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.


Address: 5855 Bremo Rd, Suite 606, Richmond, VA 23226-1930
Phone: 8048938681

BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. (NPI# 1396083721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396083721
Entity Type Organization
Organization Name BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Other Organization Name BON SECOURS CANCER INSTITUTE SURGICAL ONCOLOGY
Practice Address 5855 Bremo Rd
Suite 606
Richmond
VA 23226-1930
Practice Telephone 8048938681
Practice Fax Number 8042878525
Mailing Telephone 8048938681
Mailing Fax Number 8042878525
Enumeration Date 2013-01-18
Last Update Date 2018-10-24
Authorized Official Name GEORGE BUTLER (DIRECTOR CORPORATE RESPONSIBILITY)
Authorized Official Telephone 8048938681
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086X0206X Surgery
Specialization: Surgical Oncology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA GROUP PTAN C06778 01

Other Provider/Organization Names

Other Name Type Code
Bon Secours Cancer Institute Surgical Oncology Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194360503 Bon Secours-st. Mary's Hospital of Richmond, Inc. Internal Medicine 5899 Bremo Rd Ste 202, Richmond, VA 23226-1935 2019-11-08
1346741667 Bon Secours-st. Mary's Hospital of Richmond, Inc. Clinic/Center 12320 W Broad St Ste 100, Richmond, VA 23233 2018-02-22
1215438544 Bon Secours-st. Mary's Hospital of Richmond, Inc. Clinic/Center 12320 W Broad St Ste 100a, Richmond, VA 23233 2018-02-22
1508388554 Bon Secours-st. Mary's Hospital of Richmond, Inc. Surgery 5875 Bremo Rd Ste 110, Richmond, VA 23226-1934 2017-07-12
1255776290 Bon Secours-st. Mary's Hospital of Richmond, Inc. Internal Medicine 2401 W Leigh Street, Richmond, VA 23220-1328 2013-05-03
1639430093 Bon Secours-st. Mary's Hospital of Richmond, Inc. Psychologist 5855 Bremo Rd Ste 404, Mob North, Richmond, VA 23226-1924 2012-06-01
1548529126 Bon Secours-st. Mary's Hospital of Richmond, Inc. Pediatrics 5855 Bremo Rd Ste 605, Richmond, VA 23226-1926 2012-05-16
1508125386 Bon Secours-st. Mary's Hospital of Richmond, Inc. Internal Medicine 1501 Maple Ave Ste 100, Richmond, VA 23226-2553 2012-05-14
1013280544 Bon Secours-st. Mary's Hospital of Richmond, Inc. Internal Medicine 5875 Bremo Rd Ste G11, Mob South, Richmond, VA 23226-1934 2012-02-14
1265736680 Bon Secours-st. Mary's Hospital of Richmond, Inc. Pediatrics 5855 Bremo Rd Ste 703, Richmond, VA 23226-1926 2010-12-28

Office Location

Street Address 5855 BREMO RD
SUITE 606
City RICHMOND
State VA
Zip Code 23226-1930

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144228479 Carol A. Capraro Nurse Anesthetist, Certified Registered 5855 Bremo Rd, Suite 100, Richmond, VA 23226-1930 2005-07-11
1285264671 Emily Huesgen Emergency Medicine 5855 Bremo Rd, Richmond, VA 23226-1930 2020-01-24
1881255602 Symone Monique Hopkins Internal Medicine 5855 Bremo Rd, Richmond, VA 23226-1930 2019-06-24
1336689306 Erin Smoak Nurse Anesthetist, Certified Registered 5855 Bremo Rd, St 100, Richmond, VA 23226-1930 2017-02-24
1053850842 Carey Wakinson Elder Nurse Anesthetist, Certified Registered 5855 Bremo Rd, Suite 100, Richmond, VA 23226-1930 2017-02-14
1255889648 Bon Secours - Richmond Community Hospital, Incorporated Internal Medicine 5855 Bremo Rd, Suite 509, Richmond, VA 23226 2016-09-14
1437502994 Bon Secours - Richmond Community Hospital, Incorporated Pediatrics 5855 Bremo Rd, Suite 605, Richmond, VA 23226 2016-07-20
1841656063 Katherine Rose Hopper Nurse Anesthetist, Certified Registered 5855 Bremo Rd, Suite 100 Medical Building North, Richmond, VA 23226-1930 2016-01-04
1730566795 Aimee J Watkins Nurse Practitioner 5855 Bremo Rd, Suite 403, Richmond, VA 23226-1930 2015-04-29
1881085645 Margaret Finnigan Nurse Anesthetist, Certified Registered 5855 Bremo Rd, Richmond, VA 23226-1930 2015-02-13
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2086X0206X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Oncology

Taxonomy Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457302952 Walter (none) Lawrence Jr. Surgery 1200 E. Broad St., Box 980011, Richmond, VI 23298-0011 2006-05-12
1134175805 George A. Parker Surgery 5855 Bremo Rd, Suite 506, Richmond, VA 23226-1926 2006-05-25
1548213549 Commonwealth Surgeons, Ltd. Surgery 5855 Bremo Rd, Suite 506, Richmond, VA 23226-1926 2006-05-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770976078 John Edward Niederhuber Surgery 3300 Gallows Road; Floor 2, Claude Moore Bldg., Inova Health Care Services; Dba Inova Fairfax Hospital, Falls Church, VA 22042 2015-03-11
1013341171 Surgical Support Services LLC Surgery 12439 Walnut Hill Drive, Rockville, VA 23146 2013-08-26
1477687283 Craig L. Slingluff Jr. Surgery Uva Hospital West The Cancer Ctr, Hospital Drive, Charlottesville, VA 22908-0001 2007-03-15
1881763423 Anneke T. Schroen Surgery 1300 Jefferson Park Ave Ste 1101, Charlottesville, VA 22903-3363 2006-11-07
1669436044 Michael Anthony Covelli Surgery 200 Arh Ln 102, Low Moor, VA 24457 2006-04-13
1104801844 Theresa Harrington Stukus Surgery 8318 Arlington Blvd Ste 305, Fairfax, VA 22031-5218 2005-12-14
1619976792 Shawna Willey Surgery 8081 Innovation Park Dr, Fairfax, VA 22031-4867 2005-07-20
1508240797 Nathan James Branson Surgery 11803 Jefferson Ave, Ste 235, Newport News, VA 23606-2565 2015-07-17
1033426150 Marybeth Scavone Hughes Surgery 825 Fairfax Ave, Ste 610, Norfolk, VA 23507-1914 2010-09-10
1821320763 Sentara Medical Group Surgery 4000 Coliseum Dr, Suite 280, Hampton, VA 23666-5906 2010-02-03
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Competitor

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City RICHMOND
Zip Code 23226

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Dataset Information

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.

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