BON SECOURS SURGICAL DERMATOLOGY CENTER
NPI 1629377221
Dermatology in Glen Allen, VA

Active since March 22, 2011
5207 HICKORY PARK DR, SUITE A, GLEN ALLEN, VA 23059(804) 977-8938(804) 762-7102 Get Directions Write a Review

NPPES record last updated: August 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2019, Oct 24, 2018 (2 updates tracked since 2018).

About Bon Secours Surgical Dermatology Center NPPES

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

BON SECOURS SURGICAL DERMATOLOGY CENTER (NPI 1629377221) is a healthcare organization registered as a dermatology in Glen Allen, Virginia and active in the NPI registry since March 2011. The organization lists Stephan Quiriconi, Cfo, as its authorized official.

NPPES Registry Identity

NPI1629377221
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Location Address5207 HICKORY PARK DR, SUITE AGlen Allen, VA 23059-2624
Mailing Address8580 Magellan PkwyRichmond, VA 23227-1149 · Fax (866) 449-0896
Fax(804) 762-7102
Organization SubpartNo
Authorized OfficialStephan QuiriconiCfo · (804) 281-8301
Enumeration DateMarch 22, 2011
Last NPPES UpdateAugust 30, 20192 updates tracked since enumeration
NPI 1629377221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5207 HICKORY PARK DR, Glen Allen, VA 23059

Other Names 1

Doing Business AsBon Secours Surgical Dermatology Center

Other Identifiers 1

OtherC06778VA · Group Ptan

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

Other Providers at the Same Location NPPES 8

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

Internal Medicine
5207 HICKORY PARK DR, SUITE A
GLEN ALLEN, VA 23059
Nurse Practitioner
5207 HICKORY PARK DR, SUITE A
GLEN ALLEN, VA 23059
Nurse Practitioner (Family)
5207 HICKORY PARK DR, SUITE A
GLEN ALLEN, VA 23059
Nurse Practitioner (Family)
5207 HICKORY PARK DR, SUITE A
GLEN ALLEN, VA 23059
Dermatology
5207 HICKORY PARK DR, SUITE A
GLEN ALLEN, VA 23059
Pediatrics
5207 HICKORY PARK DR, SUITE C
GLEN ALLEN, VA 23059
Nurse Practitioner (Pediatrics)
5207 HICKORY PARK DR, SUITE C
GLEN ALLEN, VA 23059
Internal Medicine
5207 HICKORY PARK DR, SUITE A
GLEN ALLEN, VA 23059

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-St. Mary's Hospital Of Richmond, Inc.'s NPI number?

The NPI number for Bon Secours-St. Mary's Hospital Of Richmond, Inc. is 1629377221. It was assigned to this organization in the NPPES registry on March 22, 2011. The provider is doing business as Bon Secours Surgical Dermatology Center.

Where is Bon Secours-St. Mary's Hospital Of Richmond, Inc. located?

Bon Secours-St. Mary's Hospital Of Richmond, Inc. is located at 5207 Hickory Park Dr Suite A, Glen Allen, VA 23059. The listed phone number is (804) 977-8938.

What is Bon Secours-St. Mary's Hospital Of Richmond, Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Bon Secours-St. Mary's Hospital Of Richmond, Inc. was last updated on August 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.