BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC (NPI# 1881795557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881795557 |
| Entity Type | Organization |
| Organization Name | BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC |
| Other Organization Name | CROSSRIDGE PEDIATRICS & INTERNAL MEDICINE |
| Practice Address |
10150 Staples Mill Rd Ste C Glen Allen VA 23060-3452 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 8047557581 |
| Practice Fax Number | 8047557586 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | WILBUR GAY (CFO) |
| Authorized Official Telephone | 8645617672 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 174400000X | Specialist | 0101054649 | VA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| CrossRidge Pediatrics & Internal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437182094 | Bon Secours Memorial Regional Medical Center LLC | Family Medicine | 1041 Sharon Rd Ste 205, King William, VA 23086-3344 | 2006-07-08 |
| 1912969064 | Bon Secours Memorial Regional Medical Center LLC | General Acute Care Hospital | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2006-04-04 |
| Street Address |
10150 STAPLES MILL RD STE C |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23060-3452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469715 | Romy Sharieff | Midwife | 10433 Mountain Glen Pkwy, Glen Allen, VA 23060 | 2020-02-13 |
| 1366934549 | Guillermo Del Campo | Optometrist | 4114 Innslake Drive, Glen Allen, VA 23060 | 2018-06-04 |
| 1871013771 | Wecare Medical Transportation Inc. | Driver | 10524 Boscastle Rd, Glen Allen, VA 23060 | 2017-06-21 |
| 1265889570 | Darchelle Braxton Dmd PC | Dentist | 4300 Pouncey Tract Road Suite I, Glen Allen, VA 23060 | 2016-05-17 |
| 1952714842 | Gaynier Orthodontics PC | Clinic/Center | 4701 Cox Rx Ste 285, C/o Ct Corporation, Glen Allen, VA 23060 | 2014-06-09 |
| 1538507819 | Rca Laboratory Services, LLC | Clinical Medical Laboratory | 4060 Innslake Dr, Glen Allen, VA 23060 | 2013-06-10 |
| 1922352772 | Samantha S Stone | Physical Therapist | 4101 Cox Rd Ste 100, Glen Allen, VA 23060 | 2012-11-01 |
| 1609123660 | Stephanie Rene Matsko | Optometrist | 4114 Innslake Dr., Glen Allen, VA 23060 | 2012-08-09 |
| 1851661367 | Lateaka Sheri Vinson | Speech-Language Pathologist | 2250 Old Brick Rd, Suite 2229, Glen Allen, VA 23060 | 2012-01-01 |
| 1568774271 | Cynthia A Koza | Optometrist | 4600 Cox Road, Suite 120, Glen Allen, VA 23060 | 2010-07-10 |
| Find all providers in zip 23060 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336550870 | Tiani Nia Major | Specialist | 4570 Marshall Run Cir Apt 308, Glen Allen, VA 23059-5881 | 2014-05-19 |
| 1912206285 | Eleina Espigh | Specialist | 11701 Lincolnshire Ct, Glen Allen, VA 23059-3417 | 2011-03-25 |
| 1780704171 | Thomas D Dayspring | Specialist | 10701 Sheppards Way Dr, Glen Allen, VA 23060-1940 | 2007-03-30 |
| 1487703211 | Justin Creech | Specialist | 4903 Meredith Woods Rd, Glen Allen, VA 23060-3113 | 2007-01-10 |
| 1356406656 | Commonwealth Sports Medicine PC | Specialist | 4300 Pouncey Tract Rd, Suite F, Glen Allen, VA 23060-6007 | 2006-12-27 |
| 1679755789 | Zen Lo Dermatology, Inc | Specialist | 10120 West Broad Street, Suite R, Glen Allen, VA 23060 | 2007-11-30 |
| 1366462285 | Cleome Jane Winters | Specialist | 10571 Telegraph Rd, Suite110 - Pediatric Center, Glen Allen, VA 23059-4652 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952004 | Patricia Maureen Williams | Specialist | 175 W Campus Dr, 110 Lr Hall, Blacksburg, VA 24061-1034 | 2020-11-02 |
| 1497360028 | Ann L Swanson | Specialist | 872 Garrow Rd, Newport News, VA 23608-3365 | 2020-09-10 |
| 1093338915 | Bridget Elizabeth Poindexter | Specialist | 103 Madison St Apt C, Radford, VA 24141-1878 | 2020-05-27 |
| 1285257246 | Zamjams Enterprises LLC | Specialist | 1600 N Coalter St Ste 7, Staunton, VA 24401-2500 | 2020-05-26 |
| 1427670538 | Megan Cone | Specialist | 6236 Willow Glen Rd, Midlothian, VA 23112-2230 | 2020-05-12 |
| 1033739529 | Maureen Marguerite Loftus | Specialist | 8321 Old Courthouse Rd Ste 130, Vienna, VA 22182-3817 | 2020-04-24 |
| 1972132090 | Alissa S Rexo | Specialist | 25251 Beach Place, Chantilly, VA 20152 | 2020-04-02 |
| 1821626235 | Tidewater Surgical | Specialist | 1732 S Park Ct, Chesapeake, VA 23320-8934 | 2020-03-31 |
| 1699307520 | Latia Tisdale | Specialist | 2520 Professional Rd Ste D, North Chesterfield, VA 23235-3267 | 2020-02-08 |
| 1013473081 | Whitney Matheson | Specialist | 6803 Dallas Rd, Roanoke, VA 24019-2310 | 2019-02-14 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ALLEN |
| Zip Code | 23060 |
Please comment or provide details below to improve the information on BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC.
| 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.