BON SECOURS DEPAUL MEDICAL CENTER INC (NPI# 1790094084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790094084 |
| Entity Type | Organization |
| Organization Name | BON SECOURS DEPAUL MEDICAL CENTER INC |
| Other Organization Name | AMELIA MEDICAL ASSOCIATES |
| Practice Address |
885 Kempsville Rd Ste 320 Norfolk VA 23502-3800 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 7579552828 |
| Practice Fax Number | 7579552829 |
| Mailing Telephone | 8046275462 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2019-05-16 |
| Authorized Official Name | STEPHAN QUIRICONI (CFO) |
| Authorized Official Telephone | 8042818301 |
| Is Organization Subpart | Y |
| Parent Organization Name | BON SECOURS DEPAUL MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Amelia 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 |
| 1396172219 | Bon Secours Depaul Medical Center Inc | Family Medicine | 4241 E Little Creek Rd, Norfolk, VA 23518-3546 | 2013-10-09 |
| 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 |
| Street Address |
885 KEMPSVILLE RD STE 320 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609020973 | Katharine Mcknight Vanslyke | Internal Medicine | 885 Kempsville Rd Ste 320, Norfolk, VA 23502-3800 | 2008-11-12 |
| 1164943668 | Christine L Howell | Nurse Practitioner | 885 Kempsville Rd Ste 320, Norfolk, VA 23502-3800 | 2017-07-05 |
| 1902249048 | Hiram Jose Rodriguez | Family Medicine | 885 Kempsville Rd Ste 320, Norfolk, VA 23502-3800 | 2013-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1629549779 | Cleanslate Medical Group of Virginia, LLC | Internal Medicine | 160 Kingsley Ln Ste 303, Norfolk, VA 23505-4600 | 2018-12-16 |
| 1548756372 | Arfa Ahmad | Internal Medicine | 601 Pembroke Ave Apt 502, Norfolk, VA 23507-2050 | 2018-07-04 |
| 1124517966 | Shawn Steven Sell | Internal Medicine | 600 Gresham Dr Fl 2, Norfolk, VA 23507-1904 | 2018-05-08 |
| 1760912968 | Dipan Oza | Internal Medicine | 358 Mowbray Arch Ste 203205, Norfolk, VA 23507-2219 | 2017-06-20 |
| 1508395021 | Graham Christian Ellis | Internal Medicine | Eod Esu2 Medical Department, 2520 Midway Rd, Ste 400, Norfolk, VA 23459 | 2017-06-08 |
| 1366837528 | Ashleigh Long | Internal Medicine | Sentara Norfolk General Hospital, 600 Gresham Drive, Norfolk, VA 23507 | 2015-04-03 |
| 1366861148 | Chad Kloefkorn | Internal Medicine | 1706 Hampton Blvd Apt 2, Norfolk, VA 23517-1625 | 2014-04-09 |
| 1245679364 | David Amos | Internal Medicine | 825 Fairfax Ave Ste 429, Norfolk, VA 23507-1914 | 2013-06-21 |
| 1134482466 | Albert Cheung | Internal Medicine | 241 Corporate Blvd Ste 210, Norfolk, VA 23502-4965 | 2012-06-21 |
| 1154558997 | Priyanka Amit Patel | Internal Medicine | 6160 Kempsville Cir Ste 325, Norfolk, VA 23502-3933 | 2009-06-19 |
| Find all providers in NORFOLK | ||||
Please comment or provide details below to improve the information on BON SECOURS DEPAUL MEDICAL CENTER INC.
| 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.