BON SECOURS DEPAUL MEDICAL CENTER INC


Address: 4241 E Little Creek Rd, Norfolk, VA 23518-3546
Phone: 7577381200

BON SECOURS DEPAUL MEDICAL CENTER INC (NPI# 1396172219) 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) 1396172219
Entity Type Organization
Organization Name BON SECOURS DEPAUL MEDICAL CENTER INC
Other Organization Name EAST BEACH MEDICAL ASSOCIATES
Practice Address 4241 E Little Creek Rd
Norfolk
VA 23518-3546
Mailing Address 8580 Magellan Pkwy
Richmond
VA 23227-1149
Practice Telephone 7577381200
Practice Fax Number 7574803208
Mailing Telephone 8046275462
Mailing Fax Number 8664490896
Enumeration Date 2013-10-09
Last Update Date 2019-05-16
Authorized Official Name STEPHAN QUIRICONI (CFO)
Authorized Official Telephone 8042818301
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA GROUP PTAN C06209 01

Other Provider/Organization Names

Other Name Type Code
East Beach Medical Associates Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1124438437 Bon Secours Depaul Medical Center Inc Family Medicine 4211 Monarch Way, Norfolk, VA 23508-2540 2014-05-08
1205246519 Bon Secours Depaul Medical Center Inc Physical Medicine & Rehabilitation 908 Eden Way N Ste 100, Chesapeake, VA 23320-3336 2014-05-08
1245467521 Bon Secours Depaul Medical Center Inc Obstetrics & Gynecology 100 Kingsley Ln Ste 100, Norfolk, VA 23505-4604 2009-06-15
1316182835 Bon Secours Depaul Medical Center Inc Internal Medicine 100 Kingsley Ln Ste 400, Norfolk, VA 23505-4604 2008-12-12
1154521854 Bon Secours Depaul Medical Center Inc Internal Medicine 828 Healthy Way Ste 220, Virginia Beach, VA 23462-7960 2007-07-20
1922202571 Bon Secours Depaul Medical Center Inc Family Medicine 4421 Virginia Beach Blvd Ste 114, Virginia Beach, VA 23462-3114 2007-06-14
1215494380 Bon Secours Depaul Medical Center Inc Surgery 930 W 21st St Ste 100, Norfolk, VA 23517-1516 2019-02-26
1437525359 Bon Secours Depaul Medical Center Inc General Acute Care Hospital 150 Kingsley Ln, Norfolk, VA 23505-4602 2015-08-14
1144630450 Bon Secours Depaul Medical Center Inc Family Medicine 4421 Virginia Beach Blvd Ste 114, Virginia Beach, VA 23462-3114 2014-05-08
1073955001 Bon Secours Depaul Medical Center Inc Radiology 155 Kingsley Ln Ste 100, Norfolk, VA 23505-4630 2013-07-18

Office Location

Street Address 4241 E LITTLE CREEK RD
City NORFOLK
State VA
Zip Code 23518-3546

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538767793 Warminster Place LLC Public Health or Welfare 7020 Old Mill Road, Norfolk, VA 23518 2020-10-11
1265907034 Kare for All LLC Home Health Aide 1216 East Little Rd, Suite 200d, Norfolk, VA 23518 2018-10-09
1962986331 Trinity Home Health Services, Inc Home Health 1301 E. Little Creek Rd #7, Norfolk, VA 23518 2018-09-20
1619459633 Moataz Nasser Elmahdy Dentist 2338 East Little Greek Rd, Norfolk, VA 23518 2018-09-06
1841744752 Syreeta Chance Social Worker 1500 East Little Creek Rd., Norfolk, VA 23518 2016-08-09
1326490004 Elizabeth Jeanne Polinsky Social Worker The Relationship Center, Attn: Elizabeth Polinsky, Lcsw, 4615 Pleasant Ave., Suite B, Norfolk, VA 23518 2016-07-06
1255728374 Malinda Lyon Surgery 8150 Shore Drive, #522, Norfolk, VA 23518 2015-04-16
1992054217 Kimberly Ann Dupra Licensed Practical Nurse 1354 Elk Avenue, Norfolk, VA 23518 2012-08-31
1689963712 Sarah Dawn Elaine Penston Counselor 8227 Old Ocean View Rd, Norfolk, VA 23518 2011-03-29
1821239690 Elizabeth Dalton Student in an Organized Health Care Education/Training Program 3802 Heutte Dr., Norfolk, VA 23518 2009-03-09
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144708371 Alison Stover Family Medicine 110 N 29th St Ste 101, Norfolk, NE 68701-4461 2018-07-31
1689169344 Faith Regional Physician Services, LLC Family Medicine 110 N 29th St Ste 201, Norfolk, NE 68701-4461 2018-06-26
1558879346 Sentara Medical Group Family Medicine 301 Riverview Ave Ste 930, Norfolk, VA 23510-1068 2018-01-16
1194243410 Nmg LLC Family Medicine 301 N 27th St Ste 1, Norfolk, NE 68701-4457 2017-09-07
1356864995 Nmg LLC Family Medicine 301 North 27th Street Suite 1, Norfolk, NE 68701 2017-07-25
1063864981 Losika Sivaganeshan Family Medicine 900 W Norfolk Ave Ste 100, Norfolk, NE 68701-5006 2016-07-02
1235506387 Jason Charles Evers Family Medicine 999 Waterside Dr Ste 2525, Norfolk, VA 23510-3316 2015-08-25
1992185011 Marcia Nicole Newby-goodman Family Medicine 930 Majestic Ave Ste 220, Norfolk, VA 23504-4055 2015-06-03
1124438437 Bon Secours Depaul Medical Center Inc Family Medicine 4211 Monarch Way, Norfolk, VA 23508-2540 2014-05-08
1629489935 Joshua Robert Beer Family Medicine 1363 Magnolia Ave, Norfolk, VA 23508-1121 2014-05-08
Find all providers in NORFOLK

Competitor

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City NORFOLK
Zip Code 23518

Improve Information

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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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