Maryview Hospital LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARYVIEW HOSPITAL LLC

Doing business as

Bon Secours Western Branch Primary Care

Practice address

2613 Taylor Rd Ste 201
Chesapeake, VA 23321-2205

Phone

(757) 738-1600

Fax

(757) 465-8616

NPI assigned

Jul 4, 2006

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 1

Addresses

Other names 1

• Bon Secours Western Branch Primary Care 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 Nansemond Suffolk Family Practice

  • Family Medicine Physician
  • Suffolk, VA
  • NPI 1518994805

  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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret Aston, FNP-BC

  • Family Nurse Practitioner
  • Windsor, VA
  • NPI 1770057069
  NPD
• George R Orndorff, DO

  • Family Medicine Physician
  • Portsmouth, VA
  • NPI 1932162757
  NPD (past)
• Mohammad Yunas, MD

  • Family Medicine Physician
  • Portsmouth, VA
  • NPI 1477517142
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1699705699",
    "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": "2613 TAYLOR RD STE 201",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212205",
            "telephone_number": "757-738-1600",
            "fax_number": "757-465-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVIEW HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYVIEW HOSPITAL LLC",
        "enumeration_date": "2006-07-04",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Western Branch Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours Western Branch Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryview Hospital (Bon Secours Urology Specialists)
• Maryview Hospital (Internist Western Branch)
• Maryview Hospital (Bon Secours Grassfield Medical Associates)
• Maryview Hospital (Susan Almquist, MD (OB/GYN))
• Maryview Hospital LLC (Deep Creek Family Practice)
• Kindra Mason
• Paula Meadows Mason
• Valerie Massa
• Massage by Raven (Mobile, Clinical, Massage)
• Warren Masters

• Family Medicine Physician in Chesapeake, VA
• Providers in Chesapeake, 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.