Mary Washington Hospital, Inc.

Organization Active NPI Cardiovascular Disease Physician · Fredericksburg, VA

NPI 1013089879 · NPPES record last updated Mar 4, 2026

Key facts

NPI
1013089879
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
Legal business name
MARY WASHINGTON HOSPITAL, INC.
Practice address
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone
(540) 741-1041
Fax
(540) 741-1408
NPI assigned
Nov 15, 2006
Organization subpart
No

Authorized official

Name
Christopher D Newman
Title
Ceo
Phone
(540) 741-3248

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 2

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

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 133

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 133

Affiliated clinicians 1,050

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

View all 1,050

Medicare Care Compare: Hospital

Listed as
Mary Washington Hospital CCN 490022
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in VA

Hospital certification: CCN 490022

Legal name
MARY WASHINGTON HOSPITAL INC
Doing business as
MARY WASHINGTON HEALTHCARE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 2, 2007
Beds
451
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Mar 3, 1903 in VA
Enrollment address
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Main/Primary Hospital Location
Hospital subgroups
Acute care

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Martin Wilder
Individual
Corporate Director
Board Member
Jan 1, 2025
Kimberly Young
Individual
Corporate Director Jan 1, 2023
Chetan B Pai
Individual
Corporate Director Jan 1, 2023
Reggie Pearson
Individual
Corporate Director
Sr VP and Chief Hosp Oper Officer
Jan 1, 2025
W-2 Managing Employee
Ad;
Jan 1, 2025
Sandra Brown
Individual
W-2 Managing Employee Jan 1, 2015
Alan Edwards
Individual
W-2 Managing Employee Jan 1, 2015
William McDaniel
Individual
Corporate Director Jan 1, 2022
Summer Hughes
Individual
Corporate Director
Executive Vice President & Coo
Dec 16, 2024
Sarah Ogle
Individual
Corporate Officer May 3, 2020
Tina Ervin
Individual
W-2 Managing Employee Jan 1, 2015
Bruce Davis
Individual
Corporate Director Jan 1, 2015
Christopher D Newman
Individual
Corporate Officer
President and Ceo
Jul 1, 2019
Lauren Blalock
Individual
Corporate Officer Jan 1, 2015
W-2 Managing Employee Jan 1, 2015
Alda White
Individual
Corporate Director
Board Member
Jan 1, 2025
Dermaine Lewis
Individual
Corporate Director Jan 1, 2019
Medicorp Health System
Organization · Fredericksburg, VA
Non-profit
5% Or Greater Direct Ownership Interest Jan 21, 2010
Operational/Managerial Control Jan 21, 2010
Catherine Wack
Individual
Corporate Director Jan 1, 2019
Christopher W Lewis
Individual
Corporate Officer May 19, 2025
W-2 Managing Employee
Senior Vice President and Cmo
May 19, 2025
Margaret Hardy
Individual
Corporate Director Jan 1, 2020
Agostino Visioni
Individual
Corporate Director Jan 1, 2025
Nicholas Cadwallender
Individual
Corporate Director Jan 1, 2024
Howard Owen
Individual
Corporate Director Jan 1, 2023
Thomas Mathews
Individual
Corporate Officer
Evp and Chief Financial Officer
Jul 14, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040209000155 VA Part B Supplier - Clinic/Group Practice 0446143820 Receives reassigned benefits from 128 practitioners
1 other NPI on this enrollment
Practice locations: Fredericksburg, VA; Stafford, VA; Ruther Glen, VA
O20050224000092 VA Part a Provider - Hospital 0446143820 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Locations

1201 Sam Perry Blvd
Ste 205
Fredericksburg, VA 22401
Phone (540) 374-3290

1201 Sam Perry Blvd
Ste 205C
Fredericksburg, VA 22401

1201 Sam Perry Blvd
Ste 205B
Fredericksburg, VA 22401

2300 Fall Hill Ave
Ste 313
Fredericksburg, VA 22401

1201 Sam Perry Blvd
#B
Fredericksburg, VA 22401

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207QA0505X
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0000X Yes
Obstetrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207VX0000X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208600000X
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208D00000X

Addresses

Primary practice location

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453

Mailing address

1340 Central Park Blvd Ste 207
Fredericksburg, VA 22401-4941
Phone (540) 741-1041

Other names

  • Mary Washington Cardiology Doing business as
  • Mary Washington Cardiology Professional Services Doing business as
  • Mary Washington Family Medicine Residency Clinic Doing business as
  • Mary Washington Internal Medicine Residency Clinic Doing business as

Other providers in Fredericksburg, VA

All providers in Fredericksburg, VA · Cardiovascular Disease Physician in Virginia

Sources for this page

Verify at the official NPI Registry.