Active NPI
Bon Secours Depaul Medical Center Inc
Doing business as Patient Choice Oceana
- Family Medicine Physician
- Virginia Beach, VA
National Provider Identifier
1851624688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BON SECOURS DEPAUL MEDICAL CENTER INC
- Doing business as
- Patient Choice Oceana
- Practice address
- 1253 Nimmo Pkwy Ste 110
Virginia Beach, VA 23456-7782 - Phone
- (757) 425-8590
- Fax
- (757) 422-5107
- NPI assigned
- Sep 11, 2009
- Organization subpart
- Yes
- Parent organization
- BON SECOURS DEPAUL MEDICAL CENTER INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1253 Nimmo Pkwy Ste 110
Virginia Beach, VA 23456-7782
Mailing address
8580 Magellan Pkwy
Richmond, VA 23227-1149
Phone (804) 627-5462
Other names 1
- PATIENT CHOICE OCEANA
National Provider Directory
National Provider Directory- Part of
- Bon Secours Depaul Med Ctr
Locations
1232 Perimeter Pkwy
Ste 101
Virginia Beach, VA 23454
Phone (757) 425-8590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557964800000",
"number": "1851624688",
"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": "1253 NIMMO PKWY STE 110",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234567782",
"telephone_number": "757-425-8590",
"fax_number": "757-422-5107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BON SECOURS DEPAUL MEDICAL CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BON SECOURS DEPAUL MEDICAL CENTER INC",
"enumeration_date": "2009-09-11",
"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": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PATIENT CHOICE OCEANA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Virginia Beach, VA
- Bon Secours Depaul Medical Center (Bon Secours Providence Medical Associates)
- Bon Secours Depaul Medical Center (Saghana B. Chakrabortty,MD)
- Bon Secours Depaul Medical Center (Bon Secours Neuroscience Center for Pain Management)
- Bon Secours Depaul Medical Center Inc (Bon Secours Town Center Medical Associates)
- Bon Secours Depaul Medical Center Inc (Bon Secours Medical Associates)
- Bon Secours Depaul Medical Center Inc (Bon Secours Town Center Medical Associates)
- Olivia Bonanno, CNP
- Amber Bond
- Brenna Bond, SLP-CF
- Chasity Bond
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.