Active NPI
Maryview Hospital
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Portsmouth, VA
National Provider Identifier
1609806413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- MARYVIEW HOSPITAL
- Practice address
- 3636 High St
Portsmouth, VA 23707-3236 - Phone
- (757) 398-2000
- Fax
- (757) 398-2020
- NPI assigned
- Jul 4, 2006
- Organization subpart
- Yes
- Parent organization
- MARYVIEW HOSPITAL
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
3636 High St
Portsmouth, VA 23707-3236
Mailing address
8580 Magellan Pkwy
Richmond, VA 23227-1149
Phone (804) 627-5462
Other practice location 1
100 Kingsley Ln Ste 400
Norfolk, VA 23505-4604
Phone (757) 398-2222
Other names 1
- BON SECOURS CARDIOVASCULAR AND THORACIC SPECIALISTS
National Provider Directory
National Provider Directory- Part of
- Maryview Health Care Ce
Locations
3640 High St
Ste D
Portsmouth, VA 23707
3640 High St
Ste 2D
Portsmouth, VA 23707
Phone (757) 398-2000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559088000000",
"number": "1609806413",
"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": "3636 HIGH ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237073236",
"telephone_number": "757-398-2000",
"fax_number": "757-398-2020"
}
],
"practiceLocations": [
{
"address_1": "100 Kingsley Ln Ste 400",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235054604",
"country_code": "US",
"telephone_number": "757-398-2222",
"fax_number": "757-398-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MARYVIEW HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARYVIEW HOSPITAL",
"enumeration_date": "2006-07-04",
"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": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BON SECOURS CARDIOVASCULAR AND THORACIC SPECIALISTS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Portsmouth, VA
Sources for this page
- 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.