Organization Active NPI

Maryview Hospital

  • Family Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1649680950
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARYVIEW HOSPITAL
Practice address
648 Grassfield Pkwy
Ste 1
Chesapeake, VA 23322-7465
Phone
(757) 738-1325
NPI assigned
May 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

648 Grassfield Pkwy
Ste 1
Chesapeake, VA 23322-7465

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149
Phone (804) 627-5462

Other names 1

  • Bon Secours Grassfield Medical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

648 Grassfield Pkwy
Chesapeake, VA 23322
Phone (757) 312-6797

3325 Taylor Rd
Ste 107
Chesapeake, VA 23321
Phone (757) 686-3500

4057 Taylor Rd
Chesapeake, VA 23321
Phone (757) 483-5700

1040 University Blvd
Ste 205
Portsmouth, VA 23703
Phone (757) 484-2272

1040 University Blvd
Portsmouth, VA 23703

3520 High St
Portsmouth, VA 23707
Phone (757) 738-1900

2897 Bridge Rd
Suffolk, VA 23435
Phone (757) 484-7248

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1649680950",
    "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": "648 GRASSFIELD PKWY",
            "address_2": "STE 1",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227465",
            "telephone_number": "757-738-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVIEW HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2019-05-22",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Grassfield Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours Grassfield Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.