Bon Secours-Virginia Healthsource

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

0101047753 Issued in VA

Legal business name

BON SECOURS-VIRGINIA HEALTHSOURCE

Doing business as

Cardiology Associates of Central Virginia

Practice address

89 Sherwood Dr
Colonial Heights, VA 23834

Phone

(804) 526-3010

Fax

(804) 526-2293

NPI assigned

Nov 2, 2007

Last updated

Jul 27, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

BON SECOURS-VIRGINIA HEALTHSOURCEAs reported in NPPES

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

Authorized official

Name

George O Butler, MBA

Title

Director, Corporate Responsibility

Phone

(804) 281-0271

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cardiology Associates of Central Virginia Doing business as

Part of

Bon Secours-Virginia Health

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1285813501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 SHERWOOD DR",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341447",
            "telephone_number": "804-526-3010",
            "fax_number": "804-526-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 SHERWOOD DR",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "23834",
            "telephone_number": "804-526-3010",
            "fax_number": "804-526-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS-VIRGINIA HEALTHSOURCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BON SECOURS-VIRGINIA HEALTHSOURCE",
        "enumeration_date": "2007-11-02",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR, CORPORATE RESPONSIBILITY",
        "authorized_official_telephone_number": "804-281-0271",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101047753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659334373",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiology Associates of Central Virginia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardiology Associates of Central Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blandford Family Services LLC
• Blue Ridge Hearing, Inc (Miracle-Ear)
• Hope Victoria Bollin
• Bon Secours Mercy Health Petersburg LLC (Bon Secours - Colonial Height Emergency Care)
• Bon Secours St. Francis Medical Center Inc (Care Diabetes and Endocrinology)
• Bon Secours-Virginia Healthsource (CARE Diabetes and Endocrinology)
• Nicole Bonenberger, PA-C
• Cynthia J Booten, F.N.P.
• Nikitia Booth, NP
• Kylene E Botts, NP-C

• Cardiovascular Disease Physician in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Cardiovascular Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.