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BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC NPI 1629637475


NPI Information

NPI: 1629637475
Provider Name: BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
8580 MAGELLAN PKWY
RICHMOND, VA
ZIP 23227
Phone: (804) 627-5573
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BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC is a cardiovascular disease internal medicine in Richmond, VA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC NPI is 1629637475. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8580 MAGELLAN PKWY
RICHMOND, VA
ZIP 23227-149
Phone: (804) 627-5573
Fax: (866) 449-0896

The provider's authorized official is Shane Hardy .
The authorized official title is Cfo and has the following contact phone number (937) 478-2932.

The enumeration date for this NPI number is 6/6/2019 and was last updated on 7/29/2021.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes
2207RG0100XInternal MedicineGastroenterologyNo
3207RP1001XInternal MedicinePulmonary DiseaseNo
4207RX0202XInternal MedicineMedical OncologyNo
5207V00000XObstetrics & GynecologyNo
6207VX0201XObstetrics & GynecologyGynecologic OncologyNo
7207X00000XOrthopaedic SurgeryNo
82084N0400XPsychiatry & NeurologyNeurologyNo
92084P0800XPsychiatry & NeurologyPsychiatryNo
102085R0001XRadiologyRadiation OncologyNo
11208600000XSurgeryNo
12208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
13208VP0000XPain MedicinePain MedicineNo
14363L00000XNurse PractitionerNo
15367500000XNurse Anesthetist, Certified RegisteredNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.