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BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND INC. NPI 1174921068


NPI Information

NPI: 1174921068
Provider Name: BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

Doing Business As: BON SECOURS /UVA NEUROINTERVENTIONAL SURGERY

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
5855 BREMO RD
SUITE 208
RICHMOND, VA
ZIP 23226
Phone: (804) 287-7574
Get Directions

BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. is a neurology psychiatry neurology in Richmond, VA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. NPI is 1174921068. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bon Secours /uva Neurointerventional Surgery.

The provider's business location address is:

5855 BREMO RD
SUITE 208
RICHMOND, VA
ZIP 23226-930
Phone: (804) 287-7574
Fax: (804) 287-7949

The provider's authorized official is Stephan Quiriconi .
The authorized official title is Cfo and has the following contact phone number (804) 281-8301.

The enumeration date for this NPI number is 12/9/2014 and was last updated on 8/30/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C06778OTHERVIRGINIAGROUP PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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