Maryview Hospital

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MARYVIEW HOSPITAL

Practice address

1040 University Blvd Ste 205
Portsmouth, VA 23703-2650

Phone

(757) 484-2272

Fax

(757) 484-4620

NPI assigned

Jul 11, 2006

Organization subpart

Yes

Parent organization

MARYVIEW HOSPITALAs reported in NPPES

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

Authorized official

Name

Stephan Quiriconi

Title

Cfo

Phone

(804) 281-8301

Specialties & licenses 1

Addresses

Other names 1

• Western Branch OB/GYN Doing business as

Part of

Maryview Health Care Ce

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1104851104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 MAGELLAN PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271149",
            "telephone_number": "804-627-5462",
            "fax_number": "866-449-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 UNIVERSITY BLVD STE 205",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032650",
            "telephone_number": "757-484-2272",
            "fax_number": "757-484-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVIEW HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYVIEW HOSPITAL",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "QUIRICONI",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "804-281-8301"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Branch OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Branch OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wayne A. (Initial Only) Martin, L.C.S.W.
• Jill Martini, D.O.
• Carol Martins, CRNA
• Nick Martyn, M.D.
• Kastley Marvin
• Maryview Hospital
• Maryview Hospital
• Maryview Hospital
• Maryview Hospital
• Maryview Hospital

• Obstetrics & Gynecology Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.