Mary Immaculate Hospital

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MARY IMMACULATE HOSPITAL

Doing business as

Cardiovascular Specialists

Practice address

12720 McManus Blvd
Suite 201
Newport News, VA 23602-4414

Phone

(757) 875-5332

Fax

(757) 874-1545

NPI assigned

Mar 16, 2010

Organization subpart

Yes

Parent organization

MARY IMMACULATE HOSPITALAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Greg A Simia

Title

Cfo

Phone

(757) 673-5928

Specialties & licenses 1

Addresses

Other names 1

• Cardiovascular Specialists Doing business as

Part of

Mary Immaculate Hospital

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1003130394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD",
            "address_2": "SUITE 201",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024414",
            "telephone_number": "757-875-5332",
            "fax_number": "757-874-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD",
            "address_2": "SUITE 201",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024414",
            "telephone_number": "757-875-5332",
            "fax_number": "757-874-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY IMMACULATE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARY IMMACULATE HOSPITAL",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "SIMIA",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "757-673-5928"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiovascular Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emma Martone
• Mary a. Yuengert MD, P.C.
• Mary Agnes Home Care Service, LLC
• Mary C Burch PSYD PC
• Mary Immaculate Ambulatory Surgery Center LLC
• Mary Immaculate Hospital
• Mary Immaculate Hospital
• Mary Immaculate Hospital
• Mary Immaculate Hospital
• Mary Immaculate Hospital

• Cardiovascular Disease Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Cardiovascular Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.