BON SECOURS DEPAUL MEDICAL CENTER


Address: 142 W York St, Suite 508, Norfolk, VA 23510-2015
Phone: 7576223260

BON SECOURS DEPAUL MEDICAL CENTER (NPI# 1881998771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881998771
Entity Type Organization
Organization Name BON SECOURS DEPAUL MEDICAL CENTER
Other Organization Name INTERNAL MEDICINE SPECIALISTS
Practice Address 142 W York St
Suite 508
Norfolk
VA 23510-2015
Practice Telephone 7576223260
Practice Fax Number 7576220745
Mailing Telephone 7576223260
Mailing Fax Number 7576220745
Enumeration Date 2011-01-06
Last Update Date 2011-01-06
Authorized Official Name GREG SIMIA (CFO)
Authorized Official Telephone 7576735928
Is Organization Subpart Y
Parent Organization Name BON SECOURS DEPAUL MEDICAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Internal Medicine Specialists Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336520618 Bon Secours Depaul Medical Center Family Medicine 309 Battlefield Blvd S, Chesapeake, VA 23322-5311 2015-06-12
1740618412 Bon Secours Depaul Medical Center Internal Medicine 400 Gresham Dr, Suite 808, Norfolk, VA 23507-1901 2013-10-16
1548520315 Bon Secours Depaul Medical Center Otolaryngology 100 Kingsley Ln, Suite 404, Norfolk, VA 23505-4604 2012-05-25
1619251337 Bon Secours Depaul Medical Center Family Medicine 1020 Independence Blvd, Suite 305, Virginia Beach, VA 23455-5500 2011-09-29
1366725160 Bon Secours Depaul Medical Center Internal Medicine 1020 Independence Blvd, Sutie 206, Virginia Beach, VA 23455-5500 2011-09-28
1669779252 Bon Secours Depaul Medical Center Pain Medicine 4445 Corporation Ln, Suite 120, Virginia Beach, VA 23462-3262 2011-02-17
1457505711 Bon Secours Depaul Medical Center Internal Medicine 5301 Providence Rd, Suite 90, Virginia Beach, VA 23464-4128 2008-11-12
1316119332 Bon Secours Depaul Medical Center Internal Medicine 6161 Kempsville Cir, Suite 335, Norfolk, VA 23502-3932 2008-03-31
1326181413 Bon Secours Depaul Medical Center Plastic Surgery 150 Kingsley Ln, Norfolk, VA 23505-4602 2007-02-15

Office Location

Street Address 142 W YORK ST
SUITE 508
City NORFOLK
State VA
Zip Code 23510-2015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417904533 Belinda Eunice Bruster Social Worker 142 W York St, Suite 402, Norfolk, VA 23510-2015 2006-05-27
1063920635 Celia Luella Farr Counselor 142 W York St, Norfolk, VA 23510-2015 2018-01-17
1568999290 Colette Denise Edmonson Counselor 142 W York St, Norfolk, VA 23510-2015 2017-05-12
1992158729 Michelle Phillips Counselor 142 W York St, Ste 805, Norfolk, VA 23510-2015 2016-07-17
1689995524 Shannon Leigh Trewartha Counselor 142 W York St, Suite 817, Norfolk, VA 23510-2015 2010-06-15
1184948655 Genesis Psychological Services, LLC Psychologist 142 W York St, Suite 718, Norfolk, VA 23510-2015 2010-03-26
1831356948 Charles F. Lovell, Jr., M.d., P.C. Internal Medicine 142 W York St, Suite 905, Norfolk, VA 23510-2015 2008-05-18
1689878712 James H. Nottingham Jr. Dentist 142 W York St, Suite 705, Norfolk, VA 23510-2015 2007-06-13
1477757870 Katherine A Treherne Md PC Specialist 142 W York St, Suite 605, Norfolk, VA 23510-2015 2007-06-12
1174726723 John J. Lee, Md, PC Specialist 142 W York St, Suite 708, Norfolk, VA 23510-2015 2007-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972151108 Brittany Delong Speech-Language Pathologist 534 E Olney Road, Norfolk, VA 23510 2019-08-30
1881164366 Gregory D Newman Hearing Instrument Specialist 501 B Bousch St, Norfolk, VA 23510 2018-11-28
1598282998 Tidewater Hyperbaric Preventive Medicine 129 West Virginia Beach Blvd, Suite 140 A, Norfolk, VA 23510 2017-08-25
1295276186 John Michael Curnes General Practice 200 College Pl Apt 215, Norfolk, VA 23510 2017-03-13
1326499989 East Coast Family Services Community/Behavioral Health 259 Granby St., Norfolk, VA 23510 2016-06-24
1659750529 Cortney Armitano Specialist/Technologist 201 West Tazewell Street, Apt. 206, Norfolk, VA 23510 2015-05-26
1285076067 Abundant Life Therapeutic Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 645 Church St., Suite 104c, Norfolk, VA 23510 2013-07-22
1497196901 Patricia Ann Richardson Assisted Living Facility 101 East Plume Street, 501, Norfolk, VA 23510 2013-07-12
1427319300 The Foleck Center Dentist 201 College Place, #111, Norfolk, VA 23510 2012-06-06
1033414941 Laura Jeanne O'neal Social Worker 250 W Brambleton Ave, Ste 101, Norfolk, VA 23510 2011-01-24
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City NORFOLK
Zip Code 23510

Improve Information

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Dataset Information

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.

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