Bon Secours Ambulatory Services LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BON SECOURS AMBULATORY SERVICES LLC

Doing business as

Bon Secours Tuckahoe Orthopaedics

Practice address

1501 Maple Ave Ste 200
Richmond, VA 23226-2553

Phone

(804) 285-2300

Fax

(804) 527-0250

NPI assigned

Jan 12, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George Odell Butler

Title

Director Corporate Responsibility

Phone

(804) 281-0271

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bon Secours Tuckahoe Orthopaedics Doing business as

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1740798685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7229 FOREST AVE STE 112",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263765",
            "telephone_number": "804-281-0275",
            "fax_number": "804-521-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MAPLE AVE STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262553",
            "telephone_number": "804-285-2300",
            "fax_number": "804-527-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS AMBULATORY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ODELL",
        "authorized_official_title_or_position": "DIRECTOR CORPORATE RESPONSIBILITY",
        "authorized_official_telephone_number": "804-281-0271"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "D347",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Tuckahoe Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Richmond, VA
• Providers in Richmond, VA by specialty
• Multi-Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.