NPIMap

Organization Active NPI

Chesapeake Hospital Authority

Doing business as Chesapeake Regional Surgery Center at Virginia Beach

  • General Acute Care Hospital
  • Virginia Beach, VA
National Provider Identifier
1003265075
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H1841 Issued in VA
Legal business name
CHESAPEAKE HOSPITAL AUTHORITY
Doing business as
Chesapeake Regional Surgery Center at Virginia Beach
Practice address
229 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone
(757) 312-6300
Fax
(757) 312-6306
NPI assigned
Jun 9, 2016
Last updated
Jun 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Timothy Paul Garrett
Title
Director of Payor Contracting
Phone
(757) 312-6482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H1841 VA Primary

Addresses

Primary practice location

229 Clearfield Ave
Virginia Beach, VA 23462-1815

Mailing address

229 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone (757) 312-6300

Other names 1

  • Chesapeake Regional Surgery Center at Virginia Beach Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071213000802 VA Part A Provider - Hospital 5092627893 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Suffolk, VA; Elizabeth City, NC; Chesapeake, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003265075. Details of each certification follow.

Hospital certification: CCN 490120

Legal name
CHESAPEAKE HOSPITAL AUTHORITY
Doing business as
CHESAPEAKE GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 29, 1976
Last certification
Jun 7, 1995
Beds
310
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Chesapeake General HospitalCCN 490120 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stephen McDonnell Individual Corporate OfficerCfo Sep 18, 2017
W-2 Managing Employee Oct 3, 2017
Jason Andrew Mercier Individual Corporate DirectorDirector of Patient Accounts Apr 19, 2021
Timothy Garrett Individual W-2 Managing Employee Nov 13, 2018

Practitioners & affiliated clinicians

Affiliated clinicians 745

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 745

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1003265075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 CLEARFIELD AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621815",
            "telephone_number": "757-312-6300",
            "fax_number": "757-312-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 CLEARFIELD AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621815",
            "telephone_number": "757-312-6300",
            "fax_number": "757-312-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR CONTRACTING",
        "authorized_official_telephone_number": "757-312-6482"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H1841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesapeake Regional Surgery Center at Virginia Beach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chesapeake Regional Surgery Center at Virginia Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.