Maryview Hospital LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARYVIEW HOSPITAL LLC

Doing business as

Nansemond Suffolk Family Practice

Practice address

2897 Bridge Rd
Suffolk, VA 23435-1799

Phone

(757) 484-7248

Fax

(757) 484-8316

NPI assigned

Jun 26, 2006

Last updated

Sep 24, 2020By the provider in NPPES

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 2

Addresses

Other names 1

• Nansemond Suffolk Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Maryview Hospital LLC

  dba Internists of Churchland

  • Internal Medicine Physician
  • Suffolk, VA
  • NPI 1437452927

  5799685632

  Same PAC ID
• Maryview Hospital LLC

  dba Bon Secours Western Branch Primary Care

  • Family Medicine Physician
  • Chesapeake, VA
  • NPI 1699705699

  5799685632

  Same PAC ID
• Maryview Hospital LLC

  dba Bon Secours Maryview Medical Center

  • General Acute Care Hospital
  • Portsmouth, VA
  • NPI 1750399192

  5799685632

  Same PAC ID
• Maryview Hospital LLC

  • Rehabilitation Hospital Unit
  • Portsmouth, VA
  • NPI 1922018092

  5799685632

  Same PAC ID
• Maryview Hospital LLC

  dba Harbour View Family Practice

  • Family Medicine Physician
  • Suffolk, VA
  • NPI 1952338246

  5799685632

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Maryview Health Care Ce

Locations

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1518994805",
    "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",
            "fax_number": "866-449-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2897 BRIDGE RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351799",
            "telephone_number": "757-484-7248",
            "fax_number": "757-484-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVIEW HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYVIEW HOSPITAL LLC",
        "enumeration_date": "2006-06-26",
        "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": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nansemond Suffolk Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nansemond Suffolk Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryview Hospital (Virginia Orthopaedic & Spine Specialists)
• Maryview Hospital (Cardiovascular Specialist)
• Maryview Hospital (Bon Secours Maryview Medical Center Medical Oncology)
• Maryview Hospital (Bon Secours Suffolk Primary Care)
• Maryview Hospital LLC (Internists of Churchland)
• Maryview Hospital LLC (Harbour View Family Practice)
• Maryview Hospital LLC (Bon Secours Oncology Specialists)
• Maryview Hospital, LLC (Bon Secours Home Care)
• Maryview Hospital, LLC (Bon Secours Hospice)
• Jessica Anne Mason, M.D.

• Family Medicine Physician in Suffolk, VA
• Providers in Suffolk, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.