BON SECOURS-VIRGINIA HEALTHSOURCE (NPI# 1578708889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578708889 |
| Entity Type | Organization |
| Organization Name | BON SECOURS-VIRGINIA HEALTHSOURCE |
| Other Organization Name | POWHATAN MEDICAL ASSOCIATES - BON SECOURS MEDICAL GROUP |
| Practice Address |
3452 Anderson Hwy Suite D Powhatan VA 23139 |
| Mailing Address |
3452 Anderson Hwy Suite D Powhatan VA 23139-5845 |
| Practice Telephone | 8042806050 |
| Practice Fax Number | 8045982481 |
| Mailing Telephone | 8042806050 |
| Mailing Fax Number | 8045982481 |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2018-07-27 |
| Authorized Official Name | GEORGE O BUTLER (DIRECTOR, CORPORATE RESPONSIBILITY) |
| Authorized Official Telephone | 8042810271 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | BON SECOURS-VIRGINIA HEALTHSOURCE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Powhatan Medical Associates - Bon Secours Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558379404 | Bon Secours-virginia Healthsource | Durable Medical Equipment & Medical Supplies | 8137 Staples Mill Rd, Richmond, VA 23228 | 2006-08-04 |
| 1528091808 | Bon Secours-virginia Healthsource | Family Medicine | 3311 Church Rd, Suite 100, Richmond, VA 23233 | 2006-07-09 |
| 1043243546 | Bon Secours-virginia Healthsource | Family Medicine | 4835 S Laburnum Ave, Richmond, VA 23231 | 2006-07-08 |
| 1235500281 | Bon Secours-virginia Healthsource | Internal Medicine | 7229 Forest Ave, Suite 112, Richmond, VA 23226 | 2015-10-16 |
| 1407129224 | Bon Secours-virginia Healthsource | Radiology | 7110 Forest Ave, Suite 100, Richmond, VA 23226 | 2012-02-10 |
| 1982857231 | Bon Secours-virginia Healthsource | Orthopaedic Surgery | 11601 Iron Bridge Rd, Suite 209, Chester, VA 23831 | 2008-10-30 |
| 1770730475 | Bon Secours-virginia Healthsource | Emergency Medicine | 7001 Forest Ave, Suite 103, Richmond, VA 23230 | 2008-08-25 |
| 1669638037 | Bon Secours-virginia Healthsource | Surgery | 5855 Bremo Rd, Suite 506, Richmond, VA 23226 | 2008-08-05 |
| 1073789285 | Bon Secours-virginia Healthsource | Internal Medicine | 5875 Bremo Rd, Suite G-11, Richmond, VA 23226 | 2008-05-07 |
| 1427229939 | Bon Secours-virginia Healthsource | Family Medicine | 9600 Patterson Ave, Richmond, VA 23229 | 2008-03-13 |
| Street Address |
3452 ANDERSON HWY SUITE D |
| City | POWHATAN |
| State | VA |
| Zip Code | 23139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417911843 | Shelly P Smith | Nurse Practitioner | 3452 Anderson Hwy, Suite D, Powhatan, VA 23139-5845 | 2006-04-13 |
| 1134481708 | Latisha C Murray | Family Medicine | 3452 Anderson Hwy, Suite D, Powhatan, VA 23139-5845 | 2012-06-11 |
| 1659484525 | Sharon E. Joseph | Internal Medicine | 3452 Anderson Hwy, Suite D, Powhatan, VA 23139-5845 | 2006-08-16 |
| 1831129840 | Alicia N. Cress | Family Medicine | 3452 Anderson Hwy, Suite D, Powhatan, VA 23139-5845 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932521432 | Robin M Duncan | Nurse Practitioner | 5809 Anderson Hwy, Powhatan, VA 23139 | 2014-01-17 |
| 1326302563 | Albert Gordon Pavalonis | Surgery | 1735 Calais Trail, Powhatan, VA 23139 | 2012-07-03 |
| 1306107461 | Scitest Laboratories Inc | Clinical Medical Laboratory | 1551 Oakbridge Drive, Suite A, Powhatan, VA 23139 | 2012-06-06 |
| 1528365459 | Stephen Siewers Johnson | Social Worker | 1480 Oakbridge Ct., Powhatan, VA 23139 | 2011-02-11 |
| 1609004571 | Tidewater Physical Therapy, LLC | Occupational Therapist | 3510 Anderson Hwy, Suite 2, Powhatan, VA 23139 | 2009-06-30 |
| 1699912816 | Powhatan Gentle Dentistry | Health Maintenance Organization | 2105 Academy Road, Suite J, Powhatan, VA 23139 | 2009-01-09 |
| 1902932387 | Mary Therese Shepperson | Pharmacist | 1800 South Creek One Suite L, Powhatan, VA 23139 | 2007-02-27 |
| 1841383627 | Ernest Tracy Spaur | Dentist | 3852 Old Buckingham Rd, Powhatan, VA 23139 | 2006-10-02 |
| 1700987419 | Alpha Counseling Asso Pllc | Social Worker | 2142 Plainview Center, Powhatan, VA 23139 | 2006-09-26 |
| 1073565289 | Barbara M. Prillaman | Family Medicine | 3510-a Anderson Hwy., Powhatan, VA 23139 | 2006-05-16 |
| Find all providers in zip 23139 | ||||
| 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 |
|---|---|---|---|---|
| 1013538057 | Primecare Consulting and Management LLC | Family Medicine | 2615 Anderson Hwy Ste A, Powhatan, VA 23139-7400 | 2020-04-30 |
| 1861444176 | Jeffrey D Dodd | Family Medicine | 2891 Anderson Hwy, Powhatan, VA 23139-7406 | 2006-05-16 |
| 1073565289 | Barbara M. Prillaman | Family Medicine | 3510-a Anderson Hwy., Powhatan, VA 23139 | 2006-05-16 |
| 1275502429 | Shelley Cronin Short | Family Medicine | 3510 Anderson Hwy Ste A, Powhatan, VA 23139-5846 | 2006-03-17 |
| 1427041656 | David Arend Duncan | Family Medicine | 2615 Anderson Hwy, Suite A, Powhatan, VA 23139-7400 | 2005-08-23 |
| 1811531312 | Jeffrey Dodd Md PC | Family Medicine | 2891 Anderson Hwy, Powhatan, VA 23139-7406 | 2019-10-29 |
| 1396157459 | Rockwell Physicians of Salisbury | Family Medicine | 2891 Anderson Hwy, Powhatan, VA 23139-7406 | 2014-05-23 |
| 1184034035 | Kelley Mcquiddy Hilldrup | Family Medicine | 3510 Anderson Hwy Ste A, Powhatan, VA 23139-5846 | 2014-04-30 |
| 1134481708 | Latisha C Murray | Family Medicine | 3452 Anderson Hwy, Suite D, Powhatan, VA 23139-5845 | 2012-06-11 |
| 1831129840 | Alicia N. Cress | Family Medicine | 3452 Anderson Hwy, Suite D, Powhatan, VA 23139-5845 | 2006-07-04 |
| Find all providers in POWHATAN | ||||
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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.