Mary Immaculate Hospital

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

MARY IMMACULATE HOSPITAL

Doing business as

Bon Secours Pulmonary Specialists @ MIH

Practice address

12720 McManus Blvd
Suite 303
Newport News, VA 23602-4414

Phone

(757) 947-3600

Fax

(757) 947-3603

NPI assigned

Sep 29, 2011

Last updated

Feb 1, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MARY IMMACULATE HOSPITALAs reported in NPPES

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

Authorized official

Name

Michael K Kerner

Title

Ceo

Phone

(757) 673-5929

Specialties & licenses 1

Addresses

Other names 1

• Bon Secours Pulmonary Specialists @ MIH Doing business as

Part of

Invalid Entry

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1356625073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD",
            "address_2": "SUITE 303",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024414",
            "telephone_number": "757-947-3600",
            "fax_number": "757-947-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD",
            "address_2": "SUITE 303",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024414",
            "telephone_number": "757-947-3600",
            "fax_number": "757-947-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY IMMACULATE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARY IMMACULATE HOSPITAL",
        "enumeration_date": "2011-09-29",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "KERNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-673-5929"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Pulmonary Specialists @ MIH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary C Burch PSYD PC
• Mary Immaculate Hospital (Cardiovascular Specialists)
• Mary Immaculate Hospital
• Mary Immaculate Hospital (Bon Secours Occumed Center)
• Mary Immaculate Hospital (Dba Bon Secours Palliative Medicine)
• Mary Immaculate Hospital (Dba Bon Secours Vein and Vascular Specialists @ Mih)
• Mary Immaculate Hospital (Vascular Surgery)
• Mary Immaculate Hospital LLC (Bon Secours Surgical Specialists)
• Mary Immaculate Hospital LLC
• Mary Immaculate Hospital LLC

• Pulmonary Disease Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Pulmonary Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.