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BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND INC. NPI 1548529126


NPI Information

NPI: 1548529126
Provider Name: BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

Doing Business As: BON SECOURS PEDIATRIC GASTROENTEROLOGY ASSOCIATES

Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

Address:
5855 BREMO RD STE 605
RICHMOND, VA
ZIP 23226
Phone: (804) 281-8303
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BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. is a pediatric gastroenterology pediatrics in Richmond, VA. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. NPI is 1548529126. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bon Secours Pediatric Gastroenterology Associates.

The provider's business location address is:

5855 BREMO RD STE 605
RICHMOND, VA
ZIP 23226-926
Phone: (804) 281-8303
Fax: (804) 287-7801

The provider's authorized official is Stephen 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 5/16/2012 and was last updated on 2/13/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0206XPediatricsPediatric GastroenterologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 4/28/2024

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