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BON SECOURS DEPAUL MEDICAL CENTER INC NPI 1790094084


NPI Information

NPI: 1790094084
Provider Name: BON SECOURS DEPAUL MEDICAL CENTER INC

Doing Business As: AMELIA MEDICAL ASSOCIATES

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 49D2016671

Address:
885 KEMPSVILLE RD STE 320
NORFOLK, VA
ZIP 23502
Phone: (757) 955-2828
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BON SECOURS DEPAUL MEDICAL CENTER INC is an internal medicine in Norfolk, VA. The provider is 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. BON SECOURS DEPAUL MEDICAL CENTER INC NPI is 1790094084. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Amelia Medical Associates.

The provider's business location address is:

885 KEMPSVILLE RD STE 320
NORFOLK, VA
ZIP 23502-800
Phone: (757) 955-2828
Fax: (757) 955-2829

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 CLIA number assigned to this NPI record is 49D2016671 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/4/2010 and was last updated on 5/16/2019.


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
1207Q00000XFamily MedicineNo
2207V00000XObstetrics & GynecologyNo
3207R00000XInternal MedicineYes

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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