Maryview Hospital

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MARYVIEW HOSPITAL

Doing business as

Tri-Cities Medical Associates

Practice address

1040 University Blvd Ste 205
Portsmouth, VA 23703-2650

Phone

(757) 788-1880

Fax

(757) 738-1890

NPI assigned

Mar 14, 2013

Last updated

May 29, 2019By the provider in NPPES

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 2

Addresses

Other names 1

• Tri-Cities Medical Associates Doing business as

Part of

Maryview Health Care Ce

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1326389420",
    "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": "757-788-1880",
            "fax_number": "757-738-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVIEW HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYVIEW HOSPITAL",
        "enumeration_date": "2013-03-14",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Cities Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tri-Cities Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Martins, CRNA
• Nick Martyn, M.D.
• Kastley Marvin
• Maryview Hospital (Western Branch OB/GYN)
• Maryview Hospital (Bon Secours Palliative Medicine)
• Maryview Hospital (Airline Boulevard Medical Associates)
• Maryview Hospital (Children's Specialty Group MMC)
• Maryview Hospital (Bon Secours Laboratory Services - Hampton Roads)
• Maryview Hospital (Maryview Intensivist Group)
• Maryview Hospital (Bon Secours Cardiovascular and Thoracic Specialists)

• Internal Medicine Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Internal Medicine 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.