TAPPAHANNOCK PRIMARY CARE
NPI 1356567457
Internal Medicine in Tappahannock, VA

Active since April 17, 2007CLIA 49D0225047 · Waiver
1362 TAPPAHANNOCK BLVD, TAPPAHANNOCK, VA 22560(804) 443-5378(804) 443-9667 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Jul 27, 2018 (2 updates tracked since 2018).

About Tappahannock Primary Care NPPES

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

TAPPAHANNOCK PRIMARY CARE (NPI 1356567457) is a healthcare organization registered as an internal medicine in Tappahannock, Virginia and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Stephan Quiriconi, Cfo, as its authorized official.

NPPES Registry Identity

NPI1356567457
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBON SECOURS-VIRGINIA HEALTHSOURCE INC
Location Address1362 TAPPAHANNOCK BLVDTappahannock, VA 22560-9309
Mailing Address8580 Magellan PkwyRichmond, VA 23227-1149 · (804) 627-5462 · Fax (866) 449-0896
Fax(804) 443-9667
Organization SubpartYes
Authorized OfficialStephan QuiriconiCfo · (804) 281-8301
Enumeration DateApril 17, 2007
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1356567457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1362 TAPPAHANNOCK BLVD, Tappahannock, VA 22560

Other Names 1

Doing Business AsTappahannock Primary Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 49D0225047

Tappahannock Primary Care · Tappahannock, VA
Active · expires Oct 31, 2026
CLIA Number49D0225047
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorAllen Y. Tsui
Laboratory Phone(804) 443-5378
Laboratory LocationTappahannock Primary Care1362 Tappahannock Boulevard, Tappahannock, VA 22560
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 2

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

Nurse Practitioner (Family)
1362 TAPPAHANNOCK BLVD
TAPPAHANNOCK, VA 22560
Family Medicine
1362 TAPPAHANNOCK BLVD
TAPPAHANNOCK, VA 22560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bon Secours-Virginia Healthsource Inc's NPI number?

The NPI number for Bon Secours-Virginia Healthsource Inc is 1356567457. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is doing business as Tappahannock Primary Care.

Where is Bon Secours-Virginia Healthsource Inc located?

Bon Secours-Virginia Healthsource Inc is located at 1362 Tappahannock Blvd, Tappahannock, VA 22560. The listed phone number is (804) 443-5378.

What is Bon Secours-Virginia Healthsource Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Bon Secours-Virginia Healthsource Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0225047) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bon Secours-Virginia Healthsource Inc was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.