NPIMap

Organization Active NPI

Bon Secours Depaul Medical Center

  • Internal Medicine Physician
  • Norfolk, VA
National Provider Identifier
1881998771
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BON SECOURS DEPAUL MEDICAL CENTER
Practice address
142 W York St
Suite 508
Norfolk, VA 23510-2015
Phone
(757) 622-3260
Fax
(757) 622-0745
NPI assigned
Jan 6, 2011
Organization subpart
Yes
Parent organization
BON SECOURS DEPAUL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Greg Simia
Title
Cfo
Phone
(757) 673-5928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

142 W York St
Suite 508
Norfolk, VA 23510-2015

Mailing address

142 W York St
Suite 508
Norfolk, VA 23510-2015
Phone (757) 622-3260

Other names 1

  • Internal Medicine Specialists Doing business as

National Provider Directory

National Provider Directory
Part of
Bon Secours Depaul Med Ctr

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1881998771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 W YORK ST",
            "address_2": "SUITE 508",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102015",
            "telephone_number": "757-622-3260",
            "fax_number": "757-622-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W YORK ST",
            "address_2": "SUITE 508",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102015",
            "telephone_number": "757-622-3260",
            "fax_number": "757-622-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS DEPAUL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BON SECOURS DEPAUL MEDICAL CENTER",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "SIMIA",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "757-673-5928"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.