Maryview Hospital LLC

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Legal business name

MARYVIEW HOSPITAL LLC

Doing business as

Bon Secours Medical Oncology

Practice address

12720 McManus Blvd Ste 308
Newport News, VA 23602-4414

Phone

(757) 947-3840

Fax

(757) 397-8026

NPI assigned

Jun 8, 2016

Last updated

Apr 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly M Ralston

Title

System Director

Phone

(419) 996-5119

Specialties & licenses 1

Addresses

Other names 1

• BON SECOURS MEDICAL ONCOLOGY Doing business as

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1376992636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639898",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD STE 308",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024414",
            "telephone_number": "757-947-3840",
            "fax_number": "757-397-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVIEW HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BON SECOURS MEDICAL ONCOLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BON SECOURS MEDICAL ONCOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Immaculate Hospital LLC
• Mary Immaculate Hospital LLC
• Mary Immaculate Hospital LLC (Bon Secours Palliative Medicine)
• Mary Immaculate Nursing Center LLC (Saint Francis Nursing Center)
• Maryview Hospital LLC (Bon Secours Liver Institute of Hampton Roads)
• Maryview Hospital LLC (Bon Secours Gynecologic Oncology Specialists)
• Alison Mascalo, PH.D.
• Michael Andrew Mashburn
• Ednora Bradley Mason, APRN
• Jennifer Mason

• Medical Oncology Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Medical Oncology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.