Bon Secours-Virginia Healthsource Inc

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

0101030755 Issued in VA

Legal business name

BON SECOURS-VIRGINIA HEALTHSOURCE INC

Practice address

8266 Atlee Rd Ste 229
Mechanicsville, VA 23116-1811

Phone

(804) 764-7491

Fax

(804) 764-7495

NPI assigned

Jun 9, 2008

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 Sleep Disorders Center Doing business as

Locations

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1194984633",
    "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",
            "fax_number": "866-449-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8266 ATLEE RD STE 229",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161811",
            "telephone_number": "804-764-7491",
            "fax_number": "804-764-7495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13520 Hull Street Rd",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231122107",
            "country_code": "US",
            "telephone_number": "804-595-1430",
            "fax_number": "804-595-1431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5875 Bremo Rd Ste 709",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232261928",
            "country_code": "US",
            "telephone_number": "804-673-8160",
            "fax_number": "804-673-8165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 Harris Rd",
            "address_purpose": "LOCATION",
            "city": "Kilmarnock",
            "state": "VA",
            "postal_code": "224823845",
            "country_code": "US",
            "telephone_number": "804-764-7491",
            "fax_number": "804-764-7495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BON SECOURS-VIRGINIA HEALTHSOURCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2019-08-30",
        "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": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "VA",
            "license": "0101030755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Sleep Disorders Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours Sleep Disorders Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bon Secours Virginia Medical Group I, LLC
• Bon Secours Virginia Medical Group II, LLC
• Bon Secours-St. Mary'S Hospital of Richmond, Inc.
• Bon Secours-St. Mary'S Hospital of Richmond, Inc.
• Bon Secours-Virginia Healthsource
• Bon Secours-Virginia Healthsource Inc
• Mark C Bond, DDS
• Linda Bonham, P.T.
• Anna Kristina Bonner, F.N.P-B.C.
• Nikita N Bonner, NP

• Sleep Medicine (Internal Medicine) Physician in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Sleep Medicine (Internal Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.