Maryview Hospital

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MARYVIEW HOSPITAL

Doing business as

Bon Secours Vein and Vascular Specialists

Practice address

5818 Harbour View Blvd Ste 240
Suffolk, VA 23435-3315

Phone

(757) 397-2383

Fax

(757) 483-8268

NPI assigned

Oct 19, 2012

Organization subpart

Yes

Parent organization

MARYVIEW HOSPITALAs reported in NPPES

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

Addresses

Other names 1

• Bon Secours Vein and Vascular Specialists Doing business as

Part of

Maryview Hospital Inc T

Locations

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1700139391",
    "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": "5818 HARBOUR VIEW BLVD STE 240",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353315",
            "telephone_number": "757-397-2383",
            "fax_number": "757-483-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVIEW HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYVIEW HOSPITAL",
        "enumeration_date": "2012-10-19",
        "last_updated": "2019-05-20",
        "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": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Vein and Vascular Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours Vein and Vascular Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lourdes Echenique Martin, M.D.
• Pierre Thomas Martin, MD
• Shawna Rae Martin
• Maryview Hospital (Bon Secours Health Center at Harbour View)
• Maryview Hospital (Bon Secours Surgical Specialists)
• Maryview Hospital (Bon Secours Maryview Medical Center Medical Oncology)
• Maryview Hospital (Bon Secours Harbour View Medical Plaza)
• Maryview Hospital (Cardiology Associates)
• Maryview Hospital (Virginia Orthopaedic & Spine Specialists)
• Maryview Hospital (Cardiovascular Specialist)

• Surgery Physician in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.