NPIMap

Organization Active NPI

Bon Secours Depaul Medical Center Inc

Doing business as Bon Secours Vein and Vascular Specialists

  • Surgery Physician
  • Norfolk, VA
National Provider Identifier
1215494380
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BON SECOURS DEPAUL MEDICAL CENTER INC
Doing business as
Bon Secours Vein and Vascular Specialists
Practice address
930 W 21St St Ste 100
Norfolk, VA 23517-1516
Phone
(757) 943-3030
Fax
(757) 943-3099
NPI assigned
Feb 26, 2019
Last updated
May 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

930 W 21St St Ste 100
Norfolk, VA 23517-1516

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149
Phone (804) 627-5462

Other names 1

  • Bon Secours Vein and Vascular Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

908 Eden Way N
#100
Chesapeake, VA 23320
Phone (757) 738-1350

155 Kingsley Ln
Ste 400
Norfolk, VA 23505
Phone (757) 278-2240

155 Kingsley Ln
Ste 405
Norfolk, VA 23505
Phone (757) 278-2220

4211 Monarch Way
Ste 100
Norfolk, VA 23508
Phone (757) 738-1400

7300 Newport Ave
Ste 300
Norfolk, VA 23505
Phone (757) 217-0333

885 Kempsville Rd
Ste 300
Norfolk, VA 23502
Phone (757) 955-2800

1020 Independence Blvd
#206
Virginia Beach, VA 23455
Phone (757) 464-0909

1020 Independence Blvd
#305
Virginia Beach, VA 23455
Phone (757) 460-5011

1253 Nimmo Pkwy
Ste 110
Virginia Beach, VA 23456
Phone (757) 821-2088

4445 Corporation Ln
Ste 115
Virginia Beach, VA 23462
Phone (757) 213-6980

4677 Columbus St
Ste 201
Virginia Beach, VA 23462
Phone (757) 463-2540

828 Healthy Way
Ste 220B
Virginia Beach, VA 23462
Phone (757) 673-5860

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1215494380",
    "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": "930 W 21ST ST STE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171516",
            "telephone_number": "757-943-3030",
            "fax_number": "757-943-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS DEPAUL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "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": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Vein and Vascular Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours Vein and Vascular Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • 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.