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BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND INC. NPI 1790706737


NPI Information

NPI: 1790706737
Provider Name: BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

Doing Business As: COMMONWEALTH GYNECOLOGIC ONCOLOGY

Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Organization

Specialization: Gynecologic Oncology

Address:
5875 BREMO RD
SUITE G-7
RICHMOND, VA
ZIP 23226
Phone: (804) 288-8900
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BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. is a gynecologic oncology obstetrics gynecology in Richmond, VA. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. NPI is 1790706737. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Commonwealth Gynecologic Oncology.

The provider's business location address is:

5875 BREMO RD
SUITE G-7
RICHMOND, VA
ZIP 23226-934
Phone: (804) 288-8900
Fax: (804) 282-9460

The provider's authorized official is George O. Butler .
The authorized official title is Director, Corporate Responsibility and has the following contact phone number (804) 281-0271.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 10/24/2018.


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
1207VX0201XObstetrics & GynecologyGynecologic OncologyYes

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
1DD4648OTHERVIRGINIARAILROAD MEDICARE
2C06778OTHERVIRGINIAGROUP 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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