BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC (NPI# 1932724275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932724275 |
| Entity Type | Organization |
| Organization Name | BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC |
| Practice Address |
2790 Godwin Blvd Ste 320 Suffolk VA 23434-8174 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 7575627301 |
| Practice Fax Number | 7575627305 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | WILBUR GAY (CFO) |
| Authorized Official Telephone | 8642551904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| SOUTHAMPTON ORTHOPAEDIC AND SPORTS MEDICINE CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174164578 | Bon Secours Medical Group Hampton Roads Specialty Care LLC | Anesthesiology | 3640 High St Ste 1f, Portsmouth, VA 23707-3213 | 2019-10-07 |
| 1114542453 | Bon Secours Medical Group Hampton Roads Specialty Care LLC | Orthopaedic Surgery | 6 Doctors Dr, Emporia, VA 23847-1240 | 2020-06-12 |
| 1023633369 | Bon Secours Medical Group Hampton Roads Specialty Care LLC | Orthopaedic Surgery | 3920 Bridge Rd Ste 305, Suffolk, VA 23435-1107 | 2020-06-12 |
| 1205451028 | Bon Secours Medical Group Hampton Roads Specialty Care LLC | Orthopaedic Surgery | 210 Fairview Dr Ste A, Franklin, VA 23851-1216 | 2020-06-09 |
| 1629637475 | Bon Secours Medical Group Hampton Roads Specialty Care LLC | Internal Medicine | 8580 Magellan Pkwy, Richmond, VA 23227-1149 | 2019-06-06 |
| Street Address |
2790 GODWIN BLVD STE 320 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434-8174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083804728 | Franklin Clinic Corp | Family Medicine | 2790 Godwin Blvd Ste 320, Suffolk, VA 23434-8174 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659897213 | Everett Service Provider Multi Medical Group | Durable Medical Equipment & Medical Supplies | 7296 Quaker Dr, Suffolk, VA 23437-8903 | 2017-08-16 |
| 1043733785 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2775 Godwin Blvd, Suffolk, VA 23434-8037 | 2017-07-25 |
| 1528420130 | Rite Aid of Virginia Inc | Durable Medical Equipment & Medical Supplies | 6150 College Drive, Suffolk, VA 23435-1234 | 2016-03-23 |
| 1588061741 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 118 W Constance, Suffolk, VA 23434 | 2014-12-03 |
| 1376944157 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1017 University Blvd, Suffolk, VA 23435-0048 | 2014-09-11 |
| 1568668549 | Digitrace Care Services, Inc. | Durable Medical Equipment & Medical Supplies | 154 Burnetts Way, Suffolk, VA 23434-8366 | 2007-06-26 |
| 1487783825 | Urology of Va PC | Durable Medical Equipment & Medical Supplies | 2790 Godwin Blvd Ste 225, Suffolk, VA 23434-8155 | 2007-03-03 |
| 1104907922 | Suffolk Home Medical | Durable Medical Equipment & Medical Supplies | 815 W Constance Rd, Suffolk, VA 23434-5649 | 2006-10-18 |
| 1720174675 | The Shoe Fits At 1 Foot 2 Foot LLC | Durable Medical Equipment & Medical Supplies | 173 N Main St, Suffolk, VA 23434-4507 | 2006-10-05 |
| 1558462242 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 1405 North Main Street, Suffolk, VA 23434-4352 | 2006-09-26 |
| Find all providers in SUFFOLK | ||||
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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.