MARY IMMACULATE HOSPITAL


Address: 12720 Mcmanus Blvd, Suite 201, Newport News, VA 23602-4414
Phone: 7578755332

MARY IMMACULATE HOSPITAL (NPI# 1003130394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003130394
Entity Type Organization
Organization Name MARY IMMACULATE HOSPITAL
Other Organization Name CARDIOVASCULAR SPECIALISTS
Practice Address 12720 Mcmanus Blvd
Suite 201
Newport News
VA 23602-4414
Practice Telephone 7578755332
Practice Fax Number 7578741545
Mailing Telephone 7578755332
Mailing Fax Number 7578741545
Enumeration Date 2010-03-16
Last Update Date 2010-07-12
Authorized Official Name GREG A SIMIA (CFO)
Authorized Official Telephone 7576735928
Is Organization Subpart Y
Parent Organization Name MARY IMMACULATE HOSPITAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Cardiovascular Specialists Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629414867 Mary Immaculate Hospital Pharmacy 12720 Mcmanus Blvd Ste 100, Newport News, VA 23602-4414 2013-05-15
1245364223 Mary Immaculate Hospital General Acute Care Hospital 24 Night Heron Dr, Stony Brook, NY 11790-1108 2007-03-14
1316041924 Mary Immaculate Hospital Dentist 11449 Sutphin Blvd, Jamaica, NY 11434-1022 2006-09-12
1194267229 Mary Immaculate Hospital Obstetrics & Gynecology 12720 Mcmanus Blvd, Suite 301, Newport News, VA 23602-4414 2016-11-07
1689047979 Mary Immaculate Hospital Surgery 12720 Mcmanus Blvd, Suite 203, Newport News, VA 23602-4414 2015-11-09
1356625073 Mary Immaculate Hospital Internal Medicine 12720 Mcmanus Blvd, Suite 303, Newport News, VA 23602-4414 2011-09-29
1265715932 Mary Immaculate Hospital Obstetrics & Gynecology 500 Sentara Cir, Suite 102, Williamsburg, VA 23188-5727 2011-09-20
1578841367 Mary Immaculate Hospital Internal Medicine 885 Kempsville Rd, Suite 320, Norfolk, VA 23502-3800 2011-07-27
1962719666 Mary Immaculate Hospital Surgery 2 Bernardine Dr, Newport News, VA 23602-4404 2010-09-02
1164685129 Mary Immaculate Hospital Clinic/Center 14703 Warwick Blvd, Suite A, Newport News, VA 23608-3611 2008-07-09

Office Location

Street Address 12720 MCMANUS BLVD
SUITE 201
City NEWPORT NEWS
State VA
Zip Code 23602-4414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346270329 Mary Immaculate Ambulatory Surgery Center LLC Clinic/Center 12720 Mcmanus Blvd, Ste 103, Newport News, VA 23602-4441 2006-07-04
1194267229 Mary Immaculate Hospital Obstetrics & Gynecology 12720 Mcmanus Blvd, Suite 301, Newport News, VA 23602-4414 2016-11-07
1689047979 Mary Immaculate Hospital Surgery 12720 Mcmanus Blvd, Suite 203, Newport News, VA 23602-4414 2015-11-09
1174921365 Lindsay Nicole Manzlak Nurse Practitioner 12720 Mcmanus Blvd, Suite 308, Newport News, VA 23602-4414 2014-12-21
1265844880 Susan Elizabeth Ferrandino Nurse Practitioner 12720 Mcmanus Blvd, Suite 303, Newport News, VA 23602-4414 2014-06-02
1164767968 Monika R Brown Nurse Practitioner 12720 Mcmanus Blvd, Suite 308, Newport News, VA 23602-4414 2012-12-05
1356625073 Mary Immaculate Hospital Internal Medicine 12720 Mcmanus Blvd, Suite 303, Newport News, VA 23602-4414 2011-09-29
1578860607 Philip C Alexander Nurse Practitioner 12720 Mcmanus Blvd, Suite 313, Newport News, VA 23602-4414 2011-02-25
1326379769 Bon Secours-st. Mary's Hospital of Richmond, Inc. Internal Medicine 12720 Mcmanus Blvd, Suite 313, Newport News, VA 23602-4414 2010-01-25
1063641835 Ugur Yilmaz Psychiatry & Neurology 12720 Mcmanus Blvd, Newport News, VA 23602-4414 2009-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538789425 Aishah Naomi Khursheed Counselor 727 J Clyde Blvd, Ste A, Newport News, VA 23602 2020-04-21
1962069526 Boss Inner Child Counseling, LLC Clinic/Center 14203 Old Courthouse Way, Suite B, Newport News, VA 23602 2019-05-20
1922598572 Manoj Chawla Internal Medicine 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 2018-05-18
1750896999 Alexandra Paige Jones Behavioral Analyst 12727 Mcmanus Blvd., Newport News, VA 23602 2017-12-11
1457712556 Mary Ellen Lynch Registered Nurse American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 2016-03-16
1790159481 Megan Ashley Burkart Schmidt Registered Nurse 903 Kinsale Cres, Newport News, VA 23602 2015-11-18
1962870733 Natalie Marie Bradshaw-smith Nurse Practitioner 401 Oyster Point Rd Ste A, Newport News, VA 23602 2015-09-09
1477953578 Jonathan Edwards Pathology Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 2014-08-26
1588063663 Cathy G Cooke Psychologist 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 2014-08-14
1538576764 John Michael Sullivan Psychologist One Old Oyster Point Road, Newport News, VA 23602 2014-07-21
Find all providers in zip 23602

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508028937 Mrugesh Indubhai Soni Internal Medicine 12720 Mcmanus Blvd Ste 201, Newport News, VA 23602-4486 2008-06-26
1669565636 Gerard Abate Internal Medicine 33 Pear Ave, Newport News, VA 23607-6011 2006-10-02
1811974207 Andrew Mark Rashkow Internal Medicine 500 J Clyde Morris Blvd Fl Annex1, Newport News, VA 23601 2005-12-27
1962831149 Fnu Vikram Internal Medicine 500 J Clyde Morris Blvd Fl Annex1, Newport News, VA 23601 2013-11-07
1942636014 Stgeorge Tucker Lee Internal Medicine 718 J Clyde Morris Blvd, Newport News, VA 23601-1540 2013-09-20
1639324890 Riverside Physician Services, Inc Internal Medicine 500 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1929 2008-12-01
1407001456 Riverside Physician Services, Inc Internal Medicine 12720 Mcmanus Blvd, Ste 307, Newport News, VA 23602-4414 2008-11-18
1801008420 Anthony Paul Lombardo Internal Medicine 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 2007-05-04
1467580472 Peninsula Williamsburg Cardiology Assoc Internal Medicine 12720 Mcmanus Blvd, Suite 201, Newport News, VA 23602-4414 2007-03-01
1407998420 Allen Bryant Nichols Internal Medicine 12720 Mcmanus Blvd, Suite 201, Newport News, VA 23602-4414 2007-02-13
Find all providers in NEWPORT NEWS

Competitor

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City NEWPORT NEWS
Zip Code 23602

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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