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MARYVIEW HOSPITAL NPI 1104851104


NPI Information

NPI: 1104851104
Provider Name: MARYVIEW HOSPITAL

Doing Business As: WESTERN BRANCH OB/GYN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 49D0921556

Address:
1040 UNIVERSITY BLVD STE 205
PORTSMOUTH, VA
ZIP 23703
Phone: (757) 484-2272
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MARYVIEW HOSPITAL is an obstetrics gynecology in Portsmouth, VA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MARYVIEW HOSPITAL NPI is 1104851104. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Western Branch Ob/gyn.

The provider's business location address is:

1040 UNIVERSITY BLVD STE 205
PORTSMOUTH, VA
ZIP 23703-650
Phone: (757) 484-2272
Fax: (757) 484-4620

The provider's authorized official is Stephan Quiriconi .
The authorized official title is Cfo and has the following contact phone number (804) 281-8301.

The CLIA number assigned to this NPI record is 49D0921556 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/11/2006 and was last updated on 5/29/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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