NPIMap

Organization Active NPI

Mary Washington Hospital, Inc.

Doing business as Mary Washington Cardiology

  • Cardiovascular Disease Physician
  • Fredericksburg, VA
National Provider Identifier
1013089879
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MARY WASHINGTON HOSPITAL, INC.
Doing business as
Mary Washington Cardiology
Mary Washington Cardiology Professional Services
Mary Washington Family Medicine Residency Clinic1 more in Other names
Practice address
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone
(540) 741-1041
Fax
(540) 741-1408
NPI assigned
Nov 15, 2006
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X
Cardiovascular Disease Physician 207RC0000X Primary
Obstetrics Physician 207VX0000X
Surgery Physician 208600000X
General Practice Physician 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 4

  • 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013089879. Details of each certification follow.

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
CorporationNon-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

Other NPIs with the same Medicare PAC ID 2

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

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
Mary Washington HospitalCCN 490022 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1201 Sam Perry Blvd
#B
Fredericksburg, VA 22401

1201 Sam Perry Blvd
Ste 201
Fredericksburg, VA 22401
Phone (540) 741-1100

1201 Sam Perry Blvd
Ste 205B
Fredericksburg, VA 22401

1201 Sam Perry Blvd
Ste 205C
Fredericksburg, VA 22401

Ownership & related parties

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 DirectorBoard 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 DirectorSr VP and Chief Hosp Oper Officer Jan 1, 2025
W-2 Managing EmployeeAd; 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 DirectorExecutive 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 OfficerPresident and Ceo Jul 1, 2019
Lauren Blalock Individual Corporate Officer Jan 1, 2015
W-2 Managing Employee Jan 1, 2015
Alda White Individual Corporate DirectorBoard 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 EmployeeSenior 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 OfficerEvp and Chief Financial Officer Jul 14, 2025

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 132

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 132

Affiliated clinicians 1,050

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

View all 1,050

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1013089879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CENTRAL PARK BLVD STE 207",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014941",
            "telephone_number": "540-741-1041",
            "fax_number": "540-741-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014453",
            "telephone_number": "540-741-1041",
            "fax_number": "540-741-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY WASHINGTON HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-741-3248"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Washington Cardiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mary Washington Cardiology Professional Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mary Washington Family Medicine Residency Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mary Washington Internal Medicine Residency Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mary Washington Internal Medicine Residency Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.