BON SECOURS ST. FRANCIS MEDICAL CENTER, INC. (NPI# 1649536764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649536764 |
| Entity Type | Organization |
| Organization Name | BON SECOURS ST. FRANCIS MEDICAL CENTER, INC. |
| Other Organization Name | BON SECOURS CANCER INSTITUTE MEDICAL ONCOLOGY AT ST. FRANCIS |
| Practice Address |
14051 St Francis Blvd Suite 2210 Midlothian VA 23114-3201 |
| Practice Telephone | 8042810254 |
| Practice Fax Number | 8045219344 |
| Mailing Telephone | 8042810254 |
| Mailing Fax Number | 8045219344 |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-05-09 |
| Authorized Official Name | GEORGE BUTLER (DIRECTOR CORPORATE RESPONSIBILITY) |
| Authorized Official Telephone | 8042810271 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | GROUP PTAN | C09633 | 01 |
| Other Name | Type Code |
|---|---|
| Bon Secours Cancer Institute Medical Oncology at St. Francis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124421318 | Bon Secours St. Francis Medical Center, Inc. | Family Medicine | 32 W Washington St, Suite B, Petersburg, VA 23803-4224 | 2014-10-01 |
| 1376945626 | Bon Secours St. Francis Medical Center, Inc. | Family Medicine | 12340 Bermuda Crossroad Ln, Chester, VA 23831-2352 | 2014-09-18 |
| 1750656625 | Bon Secours St. Francis Medical Center, Inc. | Obstetrics & Gynecology | 13700 St Francis Blvd Ste 502, Mob, Midlothian, VA 23114-3223 | 2012-03-12 |
| 1366729600 | Bon Secours St. Francis Medical Center, Inc. | Internal Medicine | 5949 Harbour Park Dr, Midlothian, VA 23112-2163 | 2011-11-15 |
| 1184078800 | Bon Secours St. Francis Medical Center, Inc. | Family Medicine | 213 N Main St, Blackstone, VA 23824-1425 | 2016-04-19 |
| 1942601448 | Bon Secours St. Francis Medical Center, Inc. | Clinic/Center | 7324 Bell Creek Rd, Mechanicsville, VA 23111-3545 | 2014-09-16 |
| 1104227263 | Bon Secours St. Francis Medical Center, Inc. | Family Medicine | 200 Charter Colony Pkwy, Midlothian, VA 23114-4584 | 2014-09-09 |
| 1780948083 | Bon Secours St. Francis Medical Center, Inc. | Obstetrics & Gynecology | 8239 Meadowbridge Rd, Suite A, Mechanicsville, VA 23116-2318 | 2012-07-02 |
| 1881971125 | Bon Secours St. Francis Medical Center, Inc. | Family Medicine | 213 N Main St, Blackstone, VA 23824-1425 | 2011-11-15 |
| 1245514066 | Bon Secours St. Francis Medical Center, Inc. | Emergency Medicine | 601 Watkins Centre Parkway, Midlothian, VA 23114 | 2011-09-29 |
| 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 |
| 1407218399 | Bon Secours | Clinic/Center | 14051 St Francis Blvd, Suite 2210, Midlothian, VA 23114-3201 | 2016-03-22 |
| 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 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760445332 | Lawrence Michael Lewkow | Internal Medicine | 6130 Harbourside Centre Loop, Ste 101, Midlothian, VA 23112-2170 | 2006-04-06 |
| 1851863815 | Virginia Cancer Institute Incorporated | Internal Medicine | 6130 Harbourside Centre Loop, Suite 101, Midlothian, VA 23112-2170 | 2018-12-31 |
| 1659588911 | Ryan S Raddin | Internal Medicine | 14051 St Francis Blvd, Suite 2210, Midlothian, VA 23114-3201 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093339764 | Loudoun Medical Group . P.c | Internal Medicine | 19500 Sandridge Way Ste 400, Leesburg, VA 20176-3691 | 2020-05-29 |
| 1316566839 | Stephen Smith Kennedy | Internal Medicine | 1108 Doe Mountain Rd, Goodview, VA 24095-2496 | 2020-04-14 |
| 1740640804 | Virginia Hematology Oncology Physicians Inc | Internal Medicine | 2556 Fox Hound Ct, Herndon, VA 20171-2996 | 2016-03-02 |
| 1326423260 | John J Welch | Internal Medicine | 2040 Antananarivo Pl, Dulles, VA 20189-2039 | 2015-07-21 |
| 1144637786 | Toshihisa Satta | Internal Medicine | 1250 E Marshall St # 980509, Richmond, VA 23298-5051 | 2014-07-15 |
| 1366860496 | Krista Isaac | Internal Medicine | 1215 Lee St - Box Number 800716, Charlottesville, VA 22908-0001 | 2014-04-05 |
| 1760800858 | Sonia Esparza Hepburn | Internal Medicine | 500 Sentara Cir Ste 203, Williamsburg, VA 23188-5727 | 2014-04-04 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1528326329 | Rahul Singh | Internal Medicine | 8101 Hinson Farm Rd Ste 211, Alexandria, VA 22306 | 2012-04-30 |
| 1821363219 | Oliver Alabaster | Internal Medicine | 4318 Adrienne Dr, Alexandria, VA 22309-2803 | 2012-03-19 |
| Find all providers with the same taxonomy | ||||
| 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.