BON SECOURS GHENT STATION MEDICAL ASSOCIATES - NPI 1033442850

Q: What is Bon Secours Depaul Medical Center Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Bon Secours Ghent Station Medical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BON SECOURS GHENT STATION MEDICAL ASSOCIATES (NPI 1033442850) is a healthcare organization registered as a family medicine in Norfolk, Virginia and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists Stephan Quiriconi, Cfo, as its authorized official.

NPPES Registry Identity

NPI1033442850

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBON SECOURS DEPAUL MEDICAL CENTER INC

Location Address930 W 21ST ST STE 100Norfolk, VA 23517-1516

Mailing Address8580 Magellan PkwyRichmond, VA 23227-1149 · (804) 627-5462 · Fax (866) 449-0896

Phone(757) 622-8358

Fax(757) 622-9662

Organization SubpartYes

Authorized OfficialStephan QuiriconiCfo · (804) 281-8301

Enumeration DateSeptember 11, 2009

Last NPPES UpdateMay 16, 2019

✔ NPI 1033442850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

930 W 21ST ST STE 100, Norfolk, VA 23517

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Other Names 1

Doing Business AsBon Secours Ghent Station Medical Associates

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0710217

Bon Secours Ghent Station Medical Associates · Norfolk, VA

Active · expires Oct 2, 2027

CLIA Number49D0710217

Laboratory TypePhysician Office

Certificate Effective DateOctober 3, 2025

Certificate Expiration DateOctober 2, 2027

Laboratory DirectorTia Nelson

Laboratory Phone(757) 622-8358

Laboratory LocationBon Secours Ghent Station Medical Associates930 West 21st Street - Suite 100, Norfolk, VA 23517

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BON SECOURS DEPAUL MEDICAL CENTER INC.

Orthopaedic Surgery