Maryview Hospital

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARYVIEW HOSPITAL

Practice address

148 Burnetts Way
Ste 107
Suffolk, VA 23434-6149

Phone

(757) 738-1375

Fax

(757) 934-6935

NPI assigned

May 8, 2014

Organization subpart

No

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 Suffolk Primary Care Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1922418235",
    "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": "148 BURNETTS WAY",
            "address_2": "STE 107",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346149",
            "telephone_number": "757-738-1375",
            "fax_number": "757-934-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVIEW HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Suffolk Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours Suffolk Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryview Hospital
• Maryview Hospital
• Maryview Hospital
• Maryview Hospital
• Maryview Hospital
• Maryview Hospital LLC
• Maryview Hospital LLC
• Maryview Hospital LLC
• Maryview Hospital LLC
• Maryview Hospital, LLC

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