BON SECOURS CANCER INSTITUTE – NPI #1235582818
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

BON SECOURS CANCER INSTITUTE is a provider located in RICHMOND, VA. NPPES has assigned the NPI number 1235582818 to BON SECOURS CANCER INSTITUTE on July 19, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BON SECOURS CANCER INSTITUTE” is a dba name, the actual legal business name for this organization is BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC. According to the NPI Registry, there are 5 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 4 years ago on Oct 13, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BON SECOURS CANCER INSTITUTE below.

NPI Profile for
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC

NPI Number
1235582818
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC
Doing Business As (dba): BON SECOURS CANCER INSTITUTE
Primary location
1510 N 28TH ST STE 110
RICHMOND, VA 23223-5311
Phone: (804) 764-7220 Fax: (804) 764-6212
5 Other location(s):
101 Harris Rd Ste 209
Kilmarnock, VA 22482-3880
Phone: (804) 435-8689
Fax: (804) 435-8302
8262 Atlee Rd Ste 201
Mechanicsville, VA 23116-1816
Phone: (804) 764-7220
Fax: (804) 764-6212
14051 St Francis Blvd Ste 2210
Midlothian, VA 23114-3203
Phone: (804) 893-8717
Fax: (804) 594-3131
601 Watkins Centre Pkwy Ste 200
Midlothian, VA 23114-0002
Phone: (804) 893-8717
Fax: (804) 594-3131
5875 Bremo Rd Ste 209
Richmond, VA 23226-1934
Phone: (804) 287-7804
Fax: (804) 287-7178
Mailing address
PO BOX 639992
CINCINNATI, OH 45263-9992
Phone: Fax:
Organization Subpart
No
Authorized Official
WILLIAM KUSNIERZ
CFO
Phone: (864) 282-4993
Updated
Certification Date
Oct 13, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BON SECOURS CANCER INSTITUTE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherGROUP PTANVAC06778
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.