Active NPI
Maryview Hospital
- Family Medicine Physician
- Chesapeake, VA
National Provider Identifier
1649680950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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 |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.