MARYVIEW HOSPITAL (NPI# 1154624211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154624211 |
| Entity Type | Organization |
| Organization Name | MARYVIEW HOSPITAL |
| Other Organization Name | BON SECOURS PULMONARY SPECIALISTS |
| Practice Address |
4053 Taylor Rd Ste N Chesapeake VA 23321-5526 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 7574845900 |
| Practice Fax Number | 7574836671 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | STEPHAN QUIRICONI (CFO) |
| Authorized Official Telephone | 8042818301 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARYVIEW HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bon Secours Pulmonary Specialists | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Kingsley Ln Ste 400, Norfolk, VA 235054604 | 7578895445 | 7578895356 |
| 1040 University Blvd Ste 205, Portsmouth, VA 237032650 | 7574845900 | 7574836671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891354759 | Maryview Hospital | Internal Medicine | 301 Goode Way Ste 103, Portsmouth, VA 23704-2266 | 2019-06-13 |
| 1013439835 | Maryview Hospital | Internal Medicine | 12720 Mcmanus Blvd Ste 313, Newport News, VA 23602-4414 | 2017-07-13 |
| 1811442619 | Maryview Hospital | Clinic/Center | 7185 Harbour Towne Pkwy, Suffolk, VA 23435-3656 | 2016-08-22 |
| 1841686722 | Maryview Hospital | Family Medicine | 3300 High St Ste 6, Portsmouth, VA 23707-3321 | 2015-04-08 |
| 1922418235 | Maryview Hospital | Family Medicine | 148 Burnetts Way, Ste 107, Suffolk, VA 23434-6149 | 2014-05-08 |
| 1326477506 | Maryview Hospital | Family Medicine | 3537 Airline Blvd Ste 1, Portsmouth, VA 23701-2650 | 2013-11-07 |
| 1982956678 | Maryview Hospital | Radiology | 7185 Harbour Towne Pkwy S Ste 108, Suffolk, VA 23435-3796 | 2012-10-05 |
| 1841549953 | Maryview Hospital | Internal Medicine | 7185 Harbour Towne Pkwy S Ste 105, Suffolk, VA 23435-3796 | 2012-09-05 |
| 1053638890 | Maryview Hospital | Urology | 4037 Taylor Rd Ste A, Chesapeake, VA 23321-5500 | 2010-05-03 |
| 1831426204 | Maryview Hospital | Orthopaedic Surgery | 5838 Harbour View Blvd Ste 100, Suffolk, VA 23435-2663 | 2009-11-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Maryview Hospital LLC | 3636 High St, Portsmouth, Virginia 23707 |
| Street Address |
4053 TAYLOR RD STE N |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23321-5526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396709655 | Michelle Marie Perello | Internal Medicine | 4053 Taylor Rd Ste N, Chesapeake, VA 23321-5526 | 2006-04-13 |
| 1215420930 | Rachel Anglin | Physician Assistant | 4053 Taylor Rd Ste N, Chesapeake, VA 23321-5526 | 2018-06-07 |
| 1164931309 | Abby Eileen O'connor | Physician Assistant | 4053 Taylor Rd Ste N, Chesapeake, VA 23321-5526 | 2017-09-20 |
| 1104115187 | Haresh Dalpat Patel | Internal Medicine | 4053 Taylor Rd Ste N, Chesapeake, VA 23321-5526 | 2011-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1497382337 | Diversified Transportation Solutions | Meals | 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 | 2020-03-23 |
| 1952895344 | Jasmine Wilkins | Private Vehicle | 4112 Jennifer Cres, Chesapeake, VA 23321 | 2018-06-19 |
| 1891219804 | P & S Home Health Care Solutions | Home Health | 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 | 2017-08-01 |
| 1316467145 | Chelsea Ellison | Occupational Therapist | 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 | 2017-06-22 |
| 1932655313 | Bhg Xli, LLC | Clinic/Center | 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 | 2016-08-26 |
| 1891189429 | Kelly C Diguilio | Social Worker | 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 | 2015-03-20 |
| 1447665336 | Clancey Page | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 | 2014-06-30 |
| 1558786228 | Mary Elizabeth Whitley | Home Health Aide | 3933 Galleon Dr., Chesapeake, VA 23321 | 2014-03-04 |
| Find all providers in zip 23321 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467478727 | Rajnish Dhawan | Internal Medicine | 300 Medical Pkwy Ste 208, Chesapeake, VA 23320-4985 | 2006-07-13 |
| 1396709655 | Michelle Marie Perello | Internal Medicine | 4053 Taylor Rd Ste N, Chesapeake, VA 23321-5526 | 2006-04-13 |
| 1306847652 | Vandana Apruva Patel | Internal Medicine | 4053 Taylor Rd, Suite N, Chesapeake, VA 23321-5537 | 2005-08-09 |
| 1396953469 | Manojkumar D Patel | Internal Medicine | 725 Volvo Pkwy, Ste 102, Chesapeake, VA 23320-1621 | 2007-05-20 |
| 1700938750 | Pulmonary Consultants of Tidewater PC | Internal Medicine | 113 Gainsborough Sq, Suite 300, Chesapeake, VA 23320-1713 | 2007-01-18 |
| 1437255510 | Portsmouth Pulmonary Associates, Ltd | Internal Medicine | 4053 Taylor Rd, Suite N, Chesapeake, VA 23321-5537 | 2006-09-15 |
| 1861507121 | Eldridge Hopkins Derring Jr. | Internal Medicine | 113 Gainsborough Sq, Suite 300, Chesapeake, VA 23320-1713 | 2006-08-20 |
| 1720097728 | Steven Howard Kaufman | Internal Medicine | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2006-08-07 |
| 1184626947 | Eric Jonathan Freeman | Internal Medicine | 4053 Taylor Rd, Ste N, Chesapeake, VA 23321-5537 | 2005-08-11 |
| 1356342877 | Ellis Franklin Maxey Jr. | Internal Medicine | 4053 Taylor Rd, Suite N, Chesapeake, VA 23321-5537 | 2005-08-09 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23321 |
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| 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.