# BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** BON SECOURS ANESTHESIOLOGY GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174164578
- **Authorized official:** STEPHEN JONES (VP OPERATIONS)
- **Authorized official phone:** (757) 215-2713

## Contact information

- **Practice address:** 3640 HIGH ST STE 1F, PORTSMOUTH, VA 23707-3213
- **Practice address phone:** (757) 215-3565
- **Practice address fax:** (757) 397-8026
- **Mailing address:** 8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
- **Mailing address fax:** (866) 449-0896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2019
- **Last updated:** 10/07/2019