MARYVIEW HOSPITAL


Address: 3636 High St, Portsmouth, VA 23707-3236
Phone: 7573982000

MARYVIEW HOSPITAL (NPI# 1609806413) 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) 1609806413
Entity Type Organization
Organization Name MARYVIEW HOSPITAL
Other Organization Name BON SECOURS CARDIOVASCULAR AND THORACIC SPECIALISTS
Practice Address 3636 High St
Portsmouth
VA 23707-3236
Mailing Address 8580 Magellan Pkwy
Richmond
VA 23227-1149
Practice Telephone 7573982000
Practice Fax Number 7573982020
Mailing Telephone 8046275462
Mailing Fax Number 8664490896
Enumeration Date 2006-07-04
Last Update Date 2019-05-29
Authorized Official Name STEPHAN QUIRICONI (CFO)
Authorized Official Telephone 8042818301
Is Organization Subpart Y
Parent Organization Name MARYVIEW HOSPITAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
BON SECOURS CARDIOVASCULAR AND THORACIC SPECIALISTS Doing Business As Name - Organization
Bon Secours Heart Institute Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
100 Kingsley Ln Ste 400, Norfolk, VA 235054604 7573982222 7573982020

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Maryview Hospital LLC 3636 High St, Portsmouth, Virginia 23707

Office Location

Street Address 3636 HIGH ST
City PORTSMOUTH
State VA
Zip Code 23707-3236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396739942 Joan L Redd Physical Medicine & Rehabilitation 3636 High St, Portsmouth, VA 23707-3236 2005-09-08
1265048060 Dillon Mccarvill Registered Nurse 3636 High St, Portsmouth, VA 23707-3236 2020-09-17
1437769627 Kenita Murray Registered Nurse 3636 High St, Portsmouth, VA 23707-3236 2020-08-03
1043835101 Ashleigh Wiggins Registered Nurse 3636 High St, Portsmouth, VA 23707-3236 2020-06-14
1518582188 Angelo Ambridge Nurse Anesthetist, Certified Registered 3636 High St, Portsmouth, VA 23707-3236 2020-06-10
1003439548 Kristen Evette Brown Nurse Anesthetist, Certified Registered 3636 High St, Portsmouth, VA 23707-3236 2020-05-19
1912558602 Starleeka Latasha Roberts Registered Nurse 3636 High St, Portsmouth, VA 23707-3236 2019-09-24
1487208989 Maryview Hospital Clinical Medical Laboratory 3636 High St, Portsmouth, VA 23707-3236 2019-08-01
1326501487 Magdalys Ortiz Clinical Nurse Specialist 3636 High St, Portsmouth, VA 23707-3236 2019-04-07
1629543129 Lynda Carol Marroletti Nurse Practitioner 3636 High St, Portsmouth, VA 23707-3236 2018-10-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508410382 Ricky Lee Key Sr. Counselor Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 2019-07-30
1528627965 Amy M Baker Student in an Organized Health Care Education/Training Program 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 2019-06-10
1033774625 Himani Bhasin Student in an Organized Health Care Education/Training Program 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 2019-05-08
1851854442 Emma Daymond Student in an Organized Health Care Education/Training Program 3640 High Street, Suite 2f, Portsmouth, VA 23707 2019-04-10
1407329543 Heart Harmony Home Health and Services Home Health 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 2019-01-10
1548780869 A. Richards Counseling & Psychotherapy, LLC Substance Abuse Rehabilitation Facility 720 Rodman Ave., Portsmouth, VA 23707 2017-06-27
1316485196 Melinda Macy Occupational Therapy Assistant 314 Florida Ave, Portsmouth, VA 23707 2017-02-01
1831526045 Anointed and Blessed Home Health Care, LLC Home Health 806 Loudoun Ave, Portsmouth, VA 23707 2013-10-02
1639236284 The Center for Pain Management Clinic/Center 3315 High Street, Portsmouth, VA 23707 2007-01-02
1750444741 Wal-mart Stores East, Lp Technician/Technologist 1098 Fredrick Blvd, Portsmouth, VA 23707 2006-12-19
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275742421 Appledore Medical Grp II, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) 330 Borthwick Ave Ste 102, Portsmouth, NH 03801-4101 2007-05-22
1255501300 Thoracic & Vascular Associates Thoracic Surgery (Cardiothoracic Vascular Surgery) 200 Griffin Road, Unit 6, Portsmouth, NH 03801 2008-03-05
1235310707 Jeremiah Thomas Martin Thoracic Surgery (Cardiothoracic Vascular Surgery) 1711 27th Street, Braunlin Bldg Suite 206, Portsmouth, OH 45662-0000 2007-11-26
1184835746 Appledore Medical Group II Thoracic Surgery (Cardiothoracic Vascular Surgery) 333 Borthwick Ave, Suite 104, Portsmouth, NH 03801-7128 2007-05-25
1871530212 Joy Dalesandro, M.d., P.C. Thoracic Surgery (Cardiothoracic Vascular Surgery) 3640 High St, Suite 1a, Portsmouth, VA 23707-3213 2006-06-02
1750345039 William P Berry Thoracic Surgery (Cardiothoracic Vascular Surgery) 333 Borthwick Ave, Suite 402, Portsmouth, NH 03801-7128 2006-04-14
1679537609 Peter Frazier Roberts Thoracic Surgery (Cardiothoracic Vascular Surgery) 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2006-04-14
1699739060 Robert A Lancey Thoracic Surgery (Cardiothoracic Vascular Surgery) 3636 High St, Portsmouth, VA 23707-3236 2006-04-13
1831153337 Robert E Helm Jr. Thoracic Surgery (Cardiothoracic Vascular Surgery) 333 Borthwick Ave, Mob, Suite 402, Portsmouth, NH 03801-7128 2006-04-13
1871578534 Jared Lee Antevil Thoracic Surgery (Cardiothoracic Vascular Surgery) 620 John Paul Jones Cir, Dept of Ct Surgery, Naval Medical Center Portsmouth, Portsmouth, VA 23708-2197 2005-12-14
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Competitor

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City PORTSMOUTH
Zip Code 23707

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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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