Bon Secours Depaul Medical Center

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

BON SECOURS DEPAUL MEDICAL CENTER

Doing business as

The Wound Care & Hyperbaric Oxygen Center

Practice address

150 Kingsley LN
Norfolk, VA 23505-4602

Phone

(757) 889-2300

Fax

(757) 889-5019

NPI assigned

Feb 15, 2007

Last updated

Jul 27, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

BON SECOURS DEPAUL MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Michael K Kerner

Title

Ceo

Phone

(757) 673-5929

Specialties & licenses 1

Addresses

Other names 1

• The Wound Care & Hyperbaric Oxygen Center Doing business as

Part of

Depaul Medical Ctr

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1326181413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 KINGSLEY LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054602",
            "telephone_number": "757-889-2300",
            "fax_number": "757-889-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 KINGSLEY LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054602",
            "telephone_number": "757-889-2300",
            "fax_number": "757-889-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS DEPAUL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BON SECOURS DEPAUL MEDICAL CENTER",
        "enumeration_date": "2007-02-15",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "KERNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-673-5929"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wound Care & Hyperbaric Oxygen Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bon Secours Depaul Medical Center (DePaul/EVMS Otolaryngology Head and Neck Surgery)
• Bon Secours Depaul Medical Center (Bon Secours Contemporary Medicine)
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• Plastic Surgery Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Plastic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.