Organization Active NPI

Bon Secours-Virginia Healthsource Inc

Doing business as James River Surgical Associates-Women's Services

  • Gynecology Physician
  • Mechanicsville, VA
National Provider Identifier
1972785053
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
BON SECOURS-VIRGINIA HEALTHSOURCE INC
Doing business as
James River Surgical Associates-Women's Services
Practice address
8266 Atlee Rd Ste 215
Mechanicsville, VA 23116-1805
Phone
(804) 559-6181
Fax
(804) 559-6185
NPI assigned
Nov 30, 2007
Organization subpart
Yes
Parent organization
BON SECOURS-VIRGINIA HEALTHSOURCE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X VA Primary

Addresses

Primary practice location

8266 Atlee Rd Ste 215
Mechanicsville, VA 23116-1805

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149
Phone (804) 627-5462

Other identifiers 1

IdentifierTypeStateIssuer
C06695OtherVAGROUP PTAN

Other names 1

  • James River Surgical Associates-Women's Services Doing business as

National Provider Directory

National Provider Directory
Part of
Beaverdam Family Phy

Locations

7575 Cold Harbor Rd
Ste E
Mechanicsville, VA 23111

8260 Atlee Rd
Ste 218
Mechanicsville, VA 23116

13700 St Francis Blvd
Ste 301
Midlothian, VA 23114
Phone (804) 423-8467

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1972785053",
    "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": "8266 ATLEE RD STE 215",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161805",
            "telephone_number": "804-559-6181",
            "fax_number": "804-559-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS-VIRGINIA HEALTHSOURCE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BON SECOURS-VIRGINIA HEALTHSOURCE INC",
        "enumeration_date": "2007-11-30",
        "last_updated": "2019-06-11",
        "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": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06695",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James River Surgical Associates-Women's Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "James River Surgical Associates-Women's Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.