BON SECOURS PULMONARY SPECIALISTS
NPI 1154624211
Internal Medicine - Pulmonary Disease in Chesapeake, VA

NPI Status: Active since December 13, 2010

Contact Information

4053 TAYLOR RD STE N
CHESAPEAKE, VA
ZIP 23321
Phone: (757) 484-5900
Fax: (757) 483-6671

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  • Organization
  • Internal Medicine
  • Pulmonary Disease
  • CLIA Number: 49D0228400
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-16-2027

About BON SECOURS PULMONARY SPECIALISTS

This page provides the complete NPI Profile along with additional information for Bon Secours Pulmonary Specialists, an internist established in Chesapeake, Virginia operating as a Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1154624211 assigned on December 2010. The practitioner's primary taxonomy code is 207RP1001X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Bon Secours Pulmonary Specialists. The authorized official of this NPI record is Stephan Quiriconi (Cfo)

NPI
1154624211
Provider Legal Name
MARYVIEW HOSPITAL
Other Organization Name
BON SECOURS PULMONARY SPECIALISTS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4053 TAYLOR RD STE N CHESAPEAKE, VA 23321
Location Phone
(757) 484-5900
Location Fax
(757) 483-6671
Mailing Address
8580 MAGELLAN PKWY RICHMOND, VA 23227
Mailing Fax
(757) 483-6671
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-13-2010
Last Update Date
10-09-2019
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An internist like Bon Secours Pulmonary Specialists is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 1040 University Blvd Ste 205
    Portsmouth, VA 23703
    (757) 484-5900

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEPHAN QUIRICONI

Authorized Official Title
CFO
Authorized Official Phone
(804) 281-8301

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D0228400
Facility Type
Physician Office
Certificate Effective Date
February 17, 2025
Certificate Expiration Date
February 16, 2027
Laboratory Director
JOSEPH L. CHARLOT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bon Secours Pulmonary Specialists to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154624211
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104122822
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 2 + 2 + 8 + 2 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1154624211 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215420930 RACHEL ANGLIN PA-C
Individual
Physician Assistant (Medical)4053 TAYLOR RD STE N
CHESAPEAKE, VA 23321
(757) 484-5900
1104115187DR. HARESH DALPAT PATEL M.D.
Individual
Internal Medicine (Pulmonary Disease)4053 TAYLOR RD STE N
CHESAPEAKE, VA 23321
(757) 484-5900
1164931309 ABBY EILEEN O'CONNOR PA
Individual
Physician Assistant4053 TAYLOR RD STE N
CHESAPEAKE, VA 23321
(757) 484-5900
1396709655DR. MICHELLE MARIE PERELLO DO
Individual
Internal Medicine (Pulmonary Disease)4053 TAYLOR RD STE N
CHESAPEAKE, VA 23321
(757) 484-5900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154624211, enumerated in the NPI registry as an "organization" on December 13, 2010

The provider is located at 4053 Taylor Rd Ste N Chesapeake, Va 23321 and the phone number is (757) 484-5900

This medical organization specializes in Internal Medicine with taxonomy code 207RP1001X with a focus in Pulmonary Disease

The provider's CLIA number is 49D0228400 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 13, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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