MARYVIEW HOSPITAL (NPI# 1013439835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013439835 |
| Entity Type | Organization |
| Organization Name | MARYVIEW HOSPITAL |
| Other Organization Name | BON SECOURS LIVER INSTITUTE OF HAMPTON ROADS |
| Practice Address |
12720 Mcmanus Blvd Ste 313 Newport News VA 23602-4414 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 7579473190 |
| Practice Fax Number | 7579473195 |
| Mailing Telephone | 8046275462 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2019-05-20 |
| Authorized Official Name | STEPHAN QUIRICONI (CFO) |
| Authorized Official Telephone | 8042818301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE PTAN | C05149 | 01 |
| Other Name | Type Code |
|---|---|
| Bon Secours Liver Institute of Hampton Roads | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891354759 | Maryview Hospital | Internal Medicine | 301 Goode Way Ste 103, Portsmouth, VA 23704-2266 | 2019-06-13 |
| 1811442619 | Maryview Hospital | Clinic/Center | 7185 Harbour Towne Pkwy, Suffolk, VA 23435-3656 | 2016-08-22 |
| 1841686722 | Maryview Hospital | Family Medicine | 3300 High St Ste 6, Portsmouth, VA 23707-3321 | 2015-04-08 |
| 1922418235 | Maryview Hospital | Family Medicine | 148 Burnetts Way, Ste 107, Suffolk, VA 23434-6149 | 2014-05-08 |
| 1326477506 | Maryview Hospital | Family Medicine | 3537 Airline Blvd Ste 1, Portsmouth, VA 23701-2650 | 2013-11-07 |
| 1982956678 | Maryview Hospital | Radiology | 7185 Harbour Towne Pkwy S Ste 108, Suffolk, VA 23435-3796 | 2012-10-05 |
| 1841549953 | Maryview Hospital | Internal Medicine | 7185 Harbour Towne Pkwy S Ste 105, Suffolk, VA 23435-3796 | 2012-09-05 |
| 1053638890 | Maryview Hospital | Urology | 4037 Taylor Rd Ste A, Chesapeake, VA 23321-5500 | 2010-05-03 |
| 1831426204 | Maryview Hospital | Orthopaedic Surgery | 5838 Harbour View Blvd Ste 100, Suffolk, VA 23435-2663 | 2009-11-05 |
| 1841435377 | Maryview Hospital | Internal Medicine | 5838 Harbour View Blvd Ste 270, Suffolk, VA 23435-3602 | 2008-12-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Maryview Hospital LLC | 3636 High St, Portsmouth, Virginia 23707 |
| Street Address |
12720 MCMANUS BLVD STE 313 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23602-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789425 | Aishah Naomi Khursheed | Counselor | 727 J Clyde Blvd, Ste A, Newport News, VA 23602 | 2020-04-21 |
| 1962069526 | Boss Inner Child Counseling, LLC | Clinic/Center | 14203 Old Courthouse Way, Suite B, Newport News, VA 23602 | 2019-05-20 |
| 1922598572 | Manoj Chawla | Internal Medicine | 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 | 2018-05-18 |
| 1750896999 | Alexandra Paige Jones | Behavioral Analyst | 12727 Mcmanus Blvd., Newport News, VA 23602 | 2017-12-11 |
| 1457712556 | Mary Ellen Lynch | Registered Nurse | American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 | 2016-03-16 |
| 1790159481 | Megan Ashley Burkart Schmidt | Registered Nurse | 903 Kinsale Cres, Newport News, VA 23602 | 2015-11-18 |
| 1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1588063663 | Cathy G Cooke | Psychologist | 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 | 2014-08-14 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| Find all providers in zip 23602 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952480238 | Jin X Zhang | Internal Medicine | 11803 Jefferson Avenue, Suite 230, Newport News, VA 23606 | 2006-11-06 |
| 1528093143 | Gursharn Singh Rakhra | Internal Medicine | 11803 Jefferson Ave Ste 230, Newport News, VA 23606-4390 | 2006-07-12 |
| 1669466504 | Timothy James Duncan | Internal Medicine | 12200 Warwick Blvd Ste 490, Newport News, VA 23601 | 2005-09-07 |
| 1639161458 | Lisa Odabasi | Internal Medicine | 11803 Jefferson Ave, Suite 230, Newport News, VA 23606-2565 | 2005-08-18 |
| 1881686004 | Jonathan David Eisner | Internal Medicine | 11751 Rock Landing Dr Ste 1, Newport News, VA 23606-4233 | 2005-08-16 |
| 1326675109 | Michael Ney | Internal Medicine | 101 Philip Roth St, Newport News, VA 23606-1393 | 2020-03-24 |
| 1366700023 | Rafayat Samnan Hossain | Internal Medicine | 101 Philip Roth St, Newport News, VA 23606 | 2012-05-01 |
| 1033438544 | Ravi Chhatrala | Internal Medicine | 11803 Jefferson Ave, Suite 230, Newport News, VA 23606-2565 | 2010-05-24 |
| 1679750657 | Mohamed Bader El Safadi | Internal Medicine | 11751 Rock Landing Dr Ste 1, Newport News, VA 23606-4233 | 2008-01-22 |
| 1194929026 | Riverside Physician Services Inc | Internal Medicine | 101 Philip Roth St, Suite 5-a, Newport News, VA 23606-1393 | 2007-06-13 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23602 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.