BON SECOURS SURGICAL SPECIALISTS – NPI #1205142791
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Health Care Provider Taxonomy Code for Surgery

BON SECOURS SURGICAL SPECIALISTS is a surgeon located in NEWPORT NEWS, VA. NPPES has assigned the NPI number 1205142791 to BON SECOURS SURGICAL SPECIALISTS on August 23, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BON SECOURS SURGICAL SPECIALISTS” is a dba name, the actual legal business name for this organization is MARY IMMACULATE HOSPITAL LLC. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 6 years ago on Sep 21, 2020. 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 SURGICAL SPECIALISTS below.

NPI Profile for
MARY IMMACULATE HOSPITAL LLC

NPI Number
1205142791
Enumeration Date

(about 16 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 LLC
Doing Business As (dba): BON SECOURS SURGICAL SPECIALISTS
Primary location
12720 MCMANUS BLVD STE 305
NEWPORT NEWS, VA 23602-4414
Phone: (757) 947-3170 Fax: (757) 947-3180
Mailing address
8580 MAGELLAN PKWY
RICHMOND, VA 23227-1149
Phone: Fax: (866) 449-0896
Organization Subpart
Yes - BON SECOURS SURGICAL SPECIALISTS is subpart of another organization.
Authorized Official
WILBUR GAY
CFO
Phone: (864) 561-7672
Updated
Certification Date
Sep 21, 2020

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.

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
208600000X
- Surgery (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.