Active NPI
Maryview Hospital LLC
- Radiation Oncology Physician
- Suffolk, VA
National Provider Identifier
1982956678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- MARYVIEW HOSPITAL LLC
- Practice address
- 7185 Harbour Towne Pkwy S Ste 108
Suffolk, VA 23435-3796 - Phone
- (757) 278-2350
- Fax
- (757) 451-3138
- NPI assigned
- Oct 5, 2012
- Organization subpart
- Yes
- Parent organization
- MARYVIEW HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly M Ralston
- Title
- System Director
- Phone
- (419) 996-5119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
7185 Harbour Towne Pkwy S Ste 108
Suffolk, VA 23435-3796
Mailing address
8580 Magellan Pkwy
Richmond, VA 23227-1149
Phone (804) 627-5462
Other practice location 1
155 Kingsley Ln Ste 150
Norfolk, VA 23505-4628
Phone (757) 278-2350
Other names 1
- Bon Secours Oncology Specialists
National Provider Directory
National Provider Directory- Part of
- Maryview Health Care Ce
Locations
612 Kingsborough Sq
Ste 300
Chesapeake, VA 23320
Phone (757) 215-0229
340 High St
Ste 1E
Portsmouth, VA 23704
3640 High St
Ste A
Portsmouth, VA 23707
Phone (757) 278-2350
7185 Harbour Towne Pkwy S
Ste 200
Suffolk, VA 23435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1982956678",
"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": "7185 HARBOUR TOWNE PKWY S STE 108",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353796",
"telephone_number": "757-278-2350",
"fax_number": "757-451-3138"
}
],
"practiceLocations": [
{
"address_1": "155 Kingsley Ln Ste 150",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235054628",
"country_code": "US",
"telephone_number": "757-278-2350",
"fax_number": "757-451-3138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MARYVIEW HOSPITAL LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARYVIEW HOSPITAL",
"enumeration_date": "2012-10-05",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "RALSTON",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SYSTEM DIRECTOR",
"authorized_official_telephone_number": "419-996-5119"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bon Secours Oncology Specialists",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bon Secours Oncology 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 Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.