Organization Active NPI

Maryview Hospital

  • Cardiovascular Disease Physician
  • Suffolk, VA
National Provider Identifier
1841435377
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MARYVIEW HOSPITAL
Practice address
5838 Harbour View Blvd Ste 270
Suffolk, VA 23435-3602
Phone
(757) 541-1050
Fax
(757) 541-1097
NPI assigned
Dec 12, 2008
Organization subpart
Yes
Parent organization
MARYVIEW HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X

Addresses

Primary practice location

5838 Harbour View Blvd Ste 270
Suffolk, VA 23435-3602

Mailing address

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

Other practice location 1

4421 Virginia Beach Blvd Ste 114
Virginia Beach, VA 23462-3114
Phone (757) 738-1300

Other practice location 2

100 Kingsley Ln Ste 400
Norfolk, VA 23505-4604
Phone (757) 889-5335

Other names 2

  • Cardiovascular Specialist Doing business as
  • Cardiovascular Specialists Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0885532Cardiovascular Specialists5838 Harbour View Boulevard - Suite 270, Suffolk, VA 23435Certificate of waiverSep 30, 2027

National Provider Directory

National Provider Directory
Part of
Maryview Health Care Ce

Locations

1416 Stephanie Way
#A
Chesapeake, VA 23320
Phone (757) 391-7676

930 W 21st St
Norfolk, VA 23517

3636 High St
Ste D
Portsmouth, VA 23707

8580 Magellan Pkwy
Ste 100
Richmond, VA 23227

5818 Harbour View Blvd
#D
Suffolk, VA 23435

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1841435377",
    "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": "5838 HARBOUR VIEW BLVD STE 270",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353602",
            "telephone_number": "757-541-1050",
            "fax_number": "757-541-1097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4421 Virginia Beach Blvd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623114",
            "country_code": "US",
            "telephone_number": "757-738-1300",
            "fax_number": "757-687-3202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Kingsley Ln Ste 400",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235054604",
            "country_code": "US",
            "telephone_number": "757-889-5335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYVIEW HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYVIEW HOSPITAL",
        "enumeration_date": "2008-12-12",
        "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": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiovascular Specialist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardiovascular Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, 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.
  • 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.