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BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC NPI 1932654886


NPI Information

NPI: 1932654886
Provider Name: BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC

Doing Business As: COMMONWEALTH GYNECOLOGIC ONCOLOGY

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

Specialization: Gynecologic Oncology

CLIA Number: 49D1089704

Address:
5875 BREMO RD STE G7
RICHMOND, VA
ZIP 23226
Phone: (804) 288-8900
Get Directions

BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC 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-RICHMOND COMMUNITY HOSPITAL LLC NPI is 1932654886. 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 STE G7
RICHMOND, VA
ZIP 23226-934
Phone: (804) 288-8900
Fax: (804) 282-9460

The provider's authorized official is William Kusnierz .
The authorized official title is Cfo and has the following contact phone number (864) 282-4993.

The CLIA number assigned to this NPI record is 49D1089704 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2016 and was last updated on 10/13/2022.


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
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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