BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. (NPI# 1538317078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538317078 |
| Entity Type | Organization |
| Organization Name | BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. |
| Other Organization Name | PEDIATRIC ENDOCRINOLOGY AND DIABETES ASSOCIATES |
| Practice Address |
5875 Bremo Rd Ste 306 Richmond VA 23226-1934 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 8042877322 |
| Practice Fax Number | 8042818380 |
| Mailing Telephone | 8046275462 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2019-02-13 |
| Authorized Official Name | STEPHEN QUIRICONI (CFO) |
| Authorized Official Telephone | 8042818301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
0101048009 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DEA | BT3098882 | 01 |
| VA | GROUP PTAN | C06778 | 01 |
| Other Name | Type Code |
|---|---|
| Pediatric Endocrinology and Diabetes Associates | Doing Business As Name - Organization |
| 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 |
| Street Address |
5875 BREMO RD STE 306 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23226-1934 |
| 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 |
| Find all providers in zip 23226 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1194360503 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 5899 Bremo Rd Ste 202, Richmond, VA 23226-1935 | 2019-11-08 |
| 1891040762 | Shrikant Uttam Tamhane | Internal Medicine | 1050 Reid Pkwy Ste 300, Richmond, IN 47374-1155 | 2012-07-17 |
| 1568775930 | Namrata L Dass | Internal Medicine | 7417 W Grand Pkwy S Ste 150, Richmond, TX 77407-8901 | 2010-07-14 |
| 1649401209 | Patrick K Burke, M.d., P.C. | Internal Medicine | 2227 Pump Rd, Richmond, VA 23233-3507 | 2009-07-30 |
| 1184832875 | Kristin Wick Fabiato | Internal Medicine | 7650 E. Parham Rd, Mob11 Suite 210, Richmond, VA 23294 | 2007-05-18 |
| 1619184835 | Shea W Puttkammer | Internal Medicine | 7650 E, Parham Rd Mob11, Ste 210, Richmond, VA 23294 | 2007-05-17 |
| 1730243486 | Virginia Diabetes and Endocrinology PC | Internal Medicine | 7650 E Parham Rd Ste 210, Richmond, VA 23294-4306 | 2006-12-20 |
| 1558469569 | Harvey Vernon Lankford | Internal Medicine | 8001 Riverside Dr, Richmond, VA 23225-1040 | 2006-09-21 |
| 1467465104 | Colette Moussalli Md PC | Internal Medicine | 8921 Three Chopt Road, Ste 201, Richmond, VA 23229-4601 | 2006-08-14 |
| 1497752927 | Maria J Iuorno | Internal Medicine | 7650 E Parham Rd, Ste 210, Richmond, VA 23294-4373 | 2005-06-30 |
| Find all providers in RICHMOND | ||||
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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.