Bon Secours St. Francis Medical Center, Inc.
Organization Active NPI Hematology & Oncology Physician · Midlothian, VA
NPI 1649536764 · NPPES record last updated May 9, 2012
Key facts
- NPI
- 1649536764
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- Legal business name
- BON SECOURS ST. FRANCIS MEDICAL CENTER, INC.
- Practice address
- 14051 St Francis Blvd
Suite 2210
Midlothian, VA 23114-3201 - Phone
- (804) 281-0254
- Fax
- (804) 521-9344
- NPI assigned
- Apr 3, 2012
- Organization subpart
- No
Authorized official
- Name
- George Butler
- Title
- Director Corporate Responsibility
- Phone
- (804) 281-0271
Owners & managing parties with NPI records 1
-
Lang Robertson Liebman, M.D.
Other NPIs on the same Medicare enrollment 22
Practitioners 3
-
Sarah D Bowmaster, FNP-BC
-
Sharon J Clarke, FNP
-
Ryan S Raddin, MD
Affiliated clinicians 1,086
-
Jane Ivers Abernathie, ACNPC-AG
-
Kumar Abhishek, M.D.
-
Ramzi Aboujaoude, M.D.
-
Jason David Adam, M.D.
-
Helen Adams, MD
-
Rakesh Agarwal, M.D.
-
Irshad Ahmed, MD
-
Laura K Aisenberg, M.D.
-
Ayoko Aleke, DNAP, CRNA
-
Peter A Alexander, M.D.
-
Rhonda Algeier, MD
-
Sabina Ali, MD
-
Tahir Allauddin, M.D.
-
Mariam Alshagra, DO
-
John Kweku Ampomah, M.D.
-
Alexis Anderson, PA-C
Medicare Care Compare: Hospital
- Listed as
- Bon Secours St Francis Medical Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Church
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA
Hospital certification: CCN 490136
- Legal name
- BON SECOURS ST FRANCIS MEDICAL CENTER LLC
- Doing business as
- BON SECOURS ST FRANCIS MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Sep 6, 2005
- Last certification
- Nov 10, 2014
- Beds
- 130
- Ownership / control type
- Church
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 30, 1999 in VA
- Enrollment address
- 13710 St Francis Blvd
Midlothian, VA 23114-3267 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Jeffrey Szyperski |
Corporate Director |
Jan 1, 2024 | |
| Rebecca W McDonough |
Corporate Director |
Jan 1, 2025 | |
| Paula P Pando |
Corporate Director |
Jan 1, 2025 | |
| Robert Ukrop |
Corporate Director |
Jan 1, 2025 | |
| Wael N Haidar |
Corporate Director |
Jan 1, 2023 | |
| Osman Parvaiz |
Corporate Director |
Jan 1, 2025 | |
| Lang R Liebman |
Corporate Director |
Jan 1, 2022 | |
| James Carter |
Corporate Director |
Jan 1, 2025 | |
| Brian Yanofchick |
Corporate Director |
Jan 1, 2020 | |
| Bon Secours Mercy Health Inc |
5% Or Greater Indirect Ownership Interest | Sep 1, 2018 | 83% |
| John Starcher |
Operational/Managerial Control |
Sep 1, 2018 | |
| Regina J Elbert |
Corporate Director |
Jan 1, 2022 | |
| Michael Quinones |
Corporate Director |
Jan 1, 2023 | |
| William Kusnierz |
Corporate Officer |
Sep 18, 2020 | |
| Corporate Director |
Sep 18, 2020 | ||
| W-2 Managing Employee |
Sep 18, 2020 | ||
| Mary Shimo |
Corporate Director |
Apr 22, 2022 | |
| Bon Secours Richmond LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 83% |
| Michael John Lutes |
Corporate Director |
Oct 1, 2022 | |
| Devon Henry |
Corporate Director |
Jan 1, 2024 | |
| Bon Secours - Richmond Health System |
5% Or Greater Direct Ownership Interest | Jun 30, 1999 | 100% |
| Kimberly M Ralston |
W-2 Managing Employee |
Sep 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050920000437 | VA | Part B Supplier - Clinic/Group Practice | 0648215418 |
Receives reassigned benefits from 61 practitioners 21 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chester, VA; Midlothian, VA; Powhatan, VA |
| O20101123001220 | VA | Part a Provider - Hospital | 0648215418 |
10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Midlothian, VA; Powhatan, VA; Chester, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | Yes |
Addresses
Primary practice location
14051 St Francis Blvd
Suite 2210
Midlothian, VA 23114-3201
Mailing address
14051 St Francis Blvd
Suite 2210
Midlothian, VA 23114-3201
Phone (804) 281-0254
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C09633 | Other | VA | GROUP PTAN |
Other names
- Bon Secours Cancer Institute Medical Oncology at St. Francis
Other providers in Midlothian, VA
- Bon Secours St. Francis Medical Center LLC
- Bon Secours St. Francis Medical Center LLC
- Bon Secours St. Francis Medical Center, Inc.
- Bon Secours St. Francis Medical Center, Inc.
- Bon Secours St. Francis Medical Center, Inc.
- Bon Secours St. Francis Medical Center, Inc.
- Bon Secours Virginia Medical Group I, LLC
- Bon Secours Virginia Medical Group I, LLC
- Bon Secours-St. Mary'S Hospital of Richmond, Inc.
- Bon Secours-Virginia Healthsource
All providers in Midlothian, VA · Hematology & Oncology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.