BON SECOURS LIVER INSTITUTE OF HAMPTON ROADS – NPI #1013439835
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

BON SECOURS LIVER INSTITUTE OF HAMPTON ROADS is a provider located in NEWPORT NEWS, VA. NPPES has assigned the NPI number 1013439835 to BON SECOURS LIVER INSTITUTE OF HAMPTON ROADS on July 13, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BON SECOURS LIVER INSTITUTE OF HAMPTON ROADS” is a dba name, the actual legal business name for this organization is MARYVIEW HOSPITAL LLC. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was last updated on Nov 04, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BON SECOURS LIVER INSTITUTE OF HAMPTON ROADS below.

NPI Profile for
MARYVIEW HOSPITAL LLC

NPI Number
1013439835
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARYVIEW HOSPITAL LLC
Doing Business As (dba): BON SECOURS LIVER INSTITUTE OF HAMPTON ROADS
Primary location
12720 MCMANUS BLVD STE 313
NEWPORT NEWS, VA 23602-4414
Phone: (757) 947-3190 Fax: (757) 947-3195
Mailing address
8580 MAGELLAN PKWY
RICHMOND, VA 23227-1149
Phone: (804) 627-5462 Fax: (866) 449-0896
Organization Subpart
No
Authorized Official
KIMBERLY RALSTON
SYSTEM DIRECTOR
Phone: (419) 996-5119
Updated
Certification Date
Nov 04, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BON SECOURS LIVER INSTITUTE OF HAMPTON ROADS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE PTANVAC05149
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.