BON SECOURS (NPI# 1407218399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407218399 |
| Entity Type | Organization |
| Organization Name | BON SECOURS |
| Practice Address |
14051 St Francis Blvd Suite 2210 Midlothian VA 23114-3201 |
| Practice Telephone | 8048938717 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | GEORGE BUTLER (DIRECTOR) |
| Authorized Official Telephone | 8042810271 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
0024173408 | VA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184954836 | Bon Secours | Community/Behavioral Health | 3101 Towanda Ave, Baltimore, MD 21215-7827 | 2009-12-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | BON SECOURS - DEPAUL HEALTH FOUNDATION | 150 Kingsley Ln, Norfolk, Virginia 23505 |
| Virginia Business Entities | BON SECOURS - DEPAUL MEDICAL CENTER INC. | Bon Secours Depaul Medical Ctr, 150 Kingsley Ln, Norfolk, Virginia 23505 |
| System for Award Management (SAM) Entities | BON SECOURS - DEPAUL MEDICAL CENTER, INC. | 150 Kingsley Ln, Norfolk, VA 23505-4602 |
| Virginia Business Entities | BON SECOURS - HEALTH RESOURCES INC. | 5801 Bremo Rd, Richmond, Virginia 23226 |
| Virginia Business Entities | BON SECOURS - MARYVIEW FOUNDATION | 150 Kingsley Lane, Norfolk, Virginia 23505 |
| Virginia Business Entities | BON SECOURS - RICHMOND HEALTH SYSTEM | 5875 Bremo Road, Ste 710, Richmond, Virginia 23226 |
| Virginia Business Entities | BON SECOURS - TIDEWATER DIVERSIFIED INC. | 150 Kingsley Lane, Norfolk, Virginia 23505 |
| Virginia Business Entities | BON SECOURS - VIRGINIA HEALTHSOURCE INC. | 5801 Bremo Rd, Richmond, Virginia 23226 |
| System for Award Management (SAM) Entities | BON SECOURS BENET HOUSE | 400 Millington, Baltimore, MD 21223-1558 |
| New York State Corporations | BON SECOURS CHARITY HEALTH SYSTEM, INC. | Chief Executive Officer, 255 Lafayette Ave, Suffern, New York 10901 |
| Street Address |
14051 ST FRANCIS BLVD SUITE 2210 |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23114-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093704454 | James V Pellicane Jr. | Surgery | 14051 St Francis Blvd, Suite 2210, Midlothian, VA 23114-3201 | 2005-10-18 |
| 1417488644 | Erica Davis | Nurse Practitioner | 14051 St Francis Blvd, Suite 1400, Midlothian, VA 23114-3201 | 2017-03-21 |
| 1184071037 | Lisa Borchert | Audiologist | 14051 St Francis Blvd, Suite 2211, Midlothian, VA 23114-3201 | 2016-05-20 |
| 1790194470 | Emily Ashley | Family Medicine | 14051 St Francis Blvd, Midlothian, VA 23114-3201 | 2014-08-07 |
| 1013273820 | Rehana Sultana Kazi Glod | Nurse Practitioner | 14051 St Francis Blvd, Suite 1400, Midlothian, VA 23114-3201 | 2012-04-05 |
| 1649536764 | Bon Secours St. Francis Medical Center, Inc. | Internal Medicine | 14051 St Francis Blvd, Suite 2210, Midlothian, VA 23114-3201 | 2012-04-03 |
| 1356665830 | Brian A Fishero | Otolaryngology | 14051 St Francis Blvd, Suite 2211, Midlothian, VA 23114-3201 | 2010-03-26 |
| 1750615282 | Mary Fulcher Baker | Nurse Practitioner | 14051 St Francis Blvd, Suite 2210, Midlothian, VA 23114-3201 | 2009-10-01 |
| 1659588911 | Ryan S Raddin | Internal Medicine | 14051 St Francis Blvd, Suite 2210, Midlothian, VA 23114-3201 | 2007-05-17 |
| 1700903242 | William Johnson Irvin Jr. | Specialist | 14051 St Francis Blvd, Suite 2210, Midlothian, VA 23114-3201 | 2007-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122162 | Jotava | In Home Supportive Care | 1607 Titanium Avenue, 202, Midlothian, VA 23114 | 2020-10-20 |
| 1104393735 | Shelley Hurwitz | Occupational Therapist | 13800 Bon Secours Drive, Midlothian, VA 23114 | 2018-11-01 |
| 1316412182 | Snehal Manmeet Mahajan | Physical Therapist | 13800 Bon Secours Dr., Midlothian, VA 23114 | 2018-10-09 |
| 1154814796 | Bon Secours St Francis Medical Center Inc. | Clinic/Center | 13700 St Francis Blvd Ste 105, Midlothian, VA 23114 | 2018-06-08 |
| 1023516630 | Leah Reed | Occupational Therapist | 13800 Bon Secours Dr, Midlothian, VA 23114 | 2018-01-29 |
| 1689122012 | Momentum Counseling and Wellness LLC | Social Worker | 431 Walton Park Road, Midlothian, VA 23114 | 2016-09-14 |
| 1750765996 | Arlene Roper | Physical Therapy Assistant | 1700 Redbourne Ct, Apt 101, Midlothian, VA 23114 | 2015-07-17 |
| 1518353937 | Tamaika Floy | Podiatrist | 611 Watkins Centre Pkwy Ste 170, Midlothian, VA 23114 | 2015-04-13 |
| 1760790489 | Markita Wolf | Psychologist | 831 Grove Rd Ste C, Midlothian, VA 23114 | 2010-09-15 |
| 1306153119 | Jacinda Beth Chaisson | Physical Therapist | 13700 St. Francis Blvd., Suite 103, Midlothian, VA 23114 | 2010-09-01 |
| Find all providers in zip 23114 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588727515 | Virginia Commonwealth University Health System | Clinic/Center | 8222 Meadowbridge Rd, Mechanicsville, VA 23116-2331 | 2006-12-19 |
| 1023179124 | Georgetown University Hospital | Clinic/Center | 3123 7th Street South, Arlington, VA 22204-2407 | 2006-12-12 |
| 1962978569 | Loudoun Medical Group, P.C. | Clinic/Center | 19490 Sandridge Way Ste 240, Leesburg, VA 20176-3467 | 2018-10-22 |
| 1386027019 | Hematology Oncology of Tysons Pllc | Clinic/Center | 380 Maple Ave W, 201, Vienna, VA 22180-5620 | 2015-06-30 |
| 1265616981 | Cnmc | Clinic/Center | 8301 Arlington Blvd, Suite 209, Fairfax, VA 22031-2902 | 2007-12-18 |
| 1932266400 | Virginia Commonwealth University Health System Authority | Clinic/Center | 9000 Stony Point Pkwy, Richmond, VA 23235-1900 | 2007-01-03 |
| 1982708236 | Medical Specialists of Fredericksburg Inc | Clinic/Center | 240 Executive Center Parkway, Fredericksburg, VA 22401-3107 | 2006-09-08 |
| City | MIDLOTHIAN |
| Zip Code | 23114 |
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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.