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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | GROUP PTAN | C06209 | 01 |
Other Name | Type Code |
---|---|
East Beach Medical Associates | Doing Business As Name - Organization |
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 |
Street Address |
4241 E LITTLE CREEK RD |
City | NORFOLK |
State | VA |
Zip Code | 23518-3546 |
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 |
Find all providers in zip 23518 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
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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.