ST. MARY'S PEDIATRIC INTENSIVE CARE – NPI #1396768453
Pediatrics

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Health Care Provider Taxonomy Code for Pediatrics

ST. MARY'S PEDIATRIC INTENSIVE CARE is a provider located in RICHMOND, VA. NPPES has assigned the NPI number 1396768453 to ST. MARY'S PEDIATRIC INTENSIVE CARE on July 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ST. MARY'S PEDIATRIC INTENSIVE CARE” is a dba name, the actual legal business name for this organization is BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.. The primary taxonomy selected by this provider is 2080P0203X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Critical Care Medicine

The NPI profile was previously updated about 7 years ago on Aug 30, 2019. 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 ST. MARY'S PEDIATRIC INTENSIVE CARE below.

NPI Profile for
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

NPI Number
1396768453
Enumeration Date

(about 20 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-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Doing Business As (dba): ST. MARY'S PEDIATRIC INTENSIVE CARE
Primary location
5801 BREMO RD
ST MARY'S HOSPITAL PICU
RICHMOND, VA 23226
Phone: (804) 281-8222 Fax: (804) 281-8007
Mailing address
8580 MAGELLAN PKWY
RICHMOND, VA 23227-1149
Phone: Fax: (866) 449-0896
Organization Subpart
No
Authorized Official
STEPHAN QUIRICONI
CFO
Phone: (804) 281-8301
Updated
Identifiers

Identifiers for ST. MARY'S PEDIATRIC INTENSIVE CARE

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
OTHERNPI1336161710
OTHERNPI1629096573
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
2080P0203X
- Pediatrics / Pediatric Critical Care Medicine (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.