Maryview Hospital LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARYVIEW HOSPITAL LLC

Doing business as

Deep Creek Family Practice

Practice address

2605 Moses Grandy TRL
Suite D
Chesapeake, VA 23323-6712

Phone

(757) 485-3600

Fax

(757) 485-9458

NPI assigned

Jul 4, 2006

Organization subpart

Yes

Parent organization

MARYVIEW HOSPITAL LLCAs reported in NPPES

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

Authorized official

Name

Wilbur Gay

Title

Cfo

Phone

(864) 561-7672

Specialties & licenses 1

Addresses

Other names 1

• Deep Creek Family Practice Doing business as

Part of

Maryview Health Care Ce

Locations

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1033149034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 MOSES GRANDY TRL",
            "address_2": "SUITE D",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233236712",
            "telephone_number": "757-485-3600",
            "fax_number": "757-485-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 MOSES GRANDY TRL",
            "address_2": "SUITE D",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233236712",
            "telephone_number": "757-485-3600",
            "fax_number": "757-485-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVIEW HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYVIEW HOSPITAL LLC",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-561-7672"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deep Creek Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Deep Creek Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryview Hospital (Poplar Hill OB/GYN)
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• Maryview Hospital (Bon Secours Grassfield Medical Associates)
• Maryview Hospital (Susan Almquist, MD (OB/GYN))
• Maryview Hospital LLC (Bon Secours Western Branch Primary Care)
• Kindra Mason
• Paula Meadows Mason
• Valerie Massa
• Massage by Raven (Mobile, Clinical, Massage)

• Family Medicine Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.