Bon Secours Depaul Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BON SECOURS DEPAUL MEDICAL CENTER INC

Doing business as

Bon Secours Town Center Medical Associates

Practice address

4421 Virginia Beach Blvd Ste 114
Virginia Beach, VA 23462-3114

Phone

(757) 738-1300

Fax

(757) 687-3202

NPI assigned

May 8, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephan Quiriconi

Title

Cfo

Phone

(804) 281-8301

Specialties & licenses 1

Addresses

Other names 1

• Bon Secours Town Center Medical Associates Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1144630450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 MAGELLAN PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271149",
            "telephone_number": "804-627-5462",
            "fax_number": "866-449-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 VIRGINIA BEACH BLVD STE 114",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623114",
            "telephone_number": "757-738-1300",
            "fax_number": "757-687-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS DEPAUL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "QUIRICONI",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "804-281-8301"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Town Center Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours Town Center Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Roy Bolton, IDC
• Bon Secours Depaul Medical Center (Norma Oller Magpoc, MD)
• Bon Secours Depaul Medical Center (Bon Secours Providence Medical Associates)
• Bon Secours Depaul Medical Center (Saghana B. Chakrabortty,MD)
• Bon Secours Depaul Medical Center (Bon Secours Neuroscience Center for Pain Management)
• Bon Secours Depaul Medical Center Inc (Bon Secours Medical Associates)
• Bon Secours Depaul Medical Center Inc (Patient Choice Oceana)
• Bon Secours Depaul Medical Center Inc (Bon Secours Town Center Medical Associates)
• Olivia Bonanno, CNP
• Amber Bond

• Family Medicine Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.