MARYVIEW HOSPITAL NPI 1417239815

NPI Information

  • NPI: 1417239815
  • Provider Name: MARYVIEW HOSPITAL
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Doing Business As: BON SECOURS UROLOGY SPECIALISTS
  • CLIA Number: 49D0228353
  • Address: 3105 WESTERN BRANCH BLVD
    CHESAPEAKE, VA
    ZIP 23321
  • Phone: (757) 690-8506

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NPI Details

MARYVIEW HOSPITAL is an urology in Chesapeake, VA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MARYVIEW HOSPITAL NPI is 1417239815. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bon Secours Urology Specialists.

The provider's business location address is:

3105 WESTERN BRANCH BLVD
CHESAPEAKE, VA
ZIP 23321-543
Phone: (757) 690-8506
Fax: (757) 690-8502

The provider's authorized official is Michael K Kerner .
The authorized official title is Ceo and has the following contact phone number (757) 673-5929.

The CLIA number assigned to this NPI record is 49D0228353 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/13/2011 and was last updated on 6/25/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C04555MEDICARE PINVIRGINIA
2CD1008MEDICARE PINVIRGINIA

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: 11/21/2025

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