BON SECOURS GYNECOLOGIC ONCOLOGY SPECIALISTS – NPI #1265715932
Obstetrics & Gynecology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

BON SECOURS GYNECOLOGIC ONCOLOGY SPECIALISTS is a provider located in WILLIAMSBURG, VA. NPPES has assigned the NPI number 1265715932 to BON SECOURS GYNECOLOGIC ONCOLOGY SPECIALISTS on September 20, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BON SECOURS GYNECOLOGIC ONCOLOGY SPECIALISTS” is a dba name, the actual legal business name for this organization is MARY IMMACULATE HOSPITAL. The primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

The NPI profile was previously updated about 14 years ago on Feb 06, 2012. 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 GYNECOLOGIC ONCOLOGY SPECIALISTS below.

NPI Profile for
MARY IMMACULATE HOSPITAL

NPI Number
1265715932
Enumeration Date

(more than 14 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
MARY IMMACULATE HOSPITAL
Doing Business As (dba): BON SECOURS GYNECOLOGIC ONCOLOGY SPECIALISTS
Primary location
500 SENTARA CIR
SUITE 102
WILLIAMSBURG, VA 23188-5727
Phone: (757) 984-9890 Fax: (757) 345-6659
Mailing address
Same as primary location
Organization Subpart
Yes - BON SECOURS GYNECOLOGIC ONCOLOGY SPECIALISTS is subpart of another organization.
Authorized Official
MICHAEL KERNER
CEO
Phone: (757) 673-5929
Updated
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
207VX0201X
- Obstetrics & Gynecology / Gynecologic 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.