MARYVIEW HOSPITAL (NPI# 1831426204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831426204 |
| Entity Type | Organization |
| Organization Name | MARYVIEW HOSPITAL |
| Other Organization Name | VIRGINIA ORTHOPAEDIC & SPINE SPECIALISTS |
| Practice Address |
5838 Harbour View Blvd Ste 100 Suffolk VA 23435-2663 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 7576735680 |
| Practice Fax Number | 7574833075 |
| Mailing Telephone | 8046275462 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | STEPHAN QUIRICONI (CFO) |
| Authorized Official Telephone | 8042818301 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARYVIEW HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RR MEDICARE | DP9161 | 01 |
| Other Name | Type Code |
|---|---|
| Virginia Orthopaedic & Spine Specialists | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1040 University Blvd Ste 200, Portsmouth, VA 237032650 | 7573976930 | 7573934864 |
| 2613 Taylor Rd Ste 101, Chesapeake, VA 233212246 | 7576735680 | 7576735682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891354759 | Maryview Hospital | Internal Medicine | 301 Goode Way Ste 103, Portsmouth, VA 23704-2266 | 2019-06-13 |
| 1013439835 | Maryview Hospital | Internal Medicine | 12720 Mcmanus Blvd Ste 313, Newport News, VA 23602-4414 | 2017-07-13 |
| 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 |
| 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 |
5838 HARBOUR VIEW BLVD STE 100 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-2663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629629340 | Tidewater Orthopaedic Associates Inc | Orthopaedic Surgery | 3920a Bridge Rd Ste 305, Suffolk, VA 23435-1126 | 2019-09-24 |
| 1699068445 | Shawn Anthony Wilson | Orthopaedic Surgery | 5838 Harbour View Blvd Bldg Ste 100, Suffolk, VA 23435-2663 | 2011-05-25 |
| 1023633369 | Bon Secours Medical Group Hampton Roads Specialty Care LLC | Orthopaedic Surgery | 3920 Bridge Rd Ste 305, Suffolk, VA 23435-1107 | 2020-06-12 |
| 1932724275 | Bon Secours Medical Group Hampton Roads Specialty Care LLC | Orthopaedic Surgery | 2790 Godwin Blvd Ste 320, Suffolk, VA 23434-8174 | 2020-06-12 |
| 1619445426 | Sport Medicine and Orthopaedic Center Inc | Orthopaedic Surgery | 150 Burnetts Way Ste 100, Suffolk, VA 23434-8168 | 2018-11-09 |
| 1699243402 | Sport Medicine and Orthopaedic Center Inc | Orthopaedic Surgery | 3920a Bridge Rd Ste 301, Suffolk, VA 23435-1125 | 2018-11-09 |
| 1962702704 | Jessica R Haynie | Orthopaedic Surgery | 5818 Harbour View Blvd # D, Suite 150, Suffolk, VA 23435-3315 | 2010-10-27 |
| 1174755961 | Kraig S Graham | Orthopaedic Surgery | 5838 Harbour View Blvd, Suite 108, Suffolk, VA 23435-2663 | 2009-08-13 |
| 1598999013 | Nicolai Bert Baecher | Orthopaedic Surgery | 150 Burnetts Way Ste 100, Suffolk, VA 23434 | 2009-05-12 |
| 1437162815 | Bryan Alan Fox | Orthopaedic Surgery | 150 Burnetts Way, Ste. 100, Suffolk, VA 23434-8168 | 2006-08-15 |
| Find all providers in SUFFOLK | ||||
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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.