DBA BON SECOURS VEIN AND VASCULAR SPECIALISTS @ MIH – NPI #1689047979
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

DBA BON SECOURS VEIN AND VASCULAR SPECIALISTS @ MIH is a surgeon located in NEWPORT NEWS, VA. NPPES has assigned the NPI number 1689047979 to DBA BON SECOURS VEIN AND VASCULAR SPECIALISTS @ MIH on November 09, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DBA BON SECOURS VEIN AND VASCULAR SPECIALISTS @ MIH” is a dba name, the actual legal business name for this organization is MARY IMMACULATE HOSPITAL. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

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 DBA BON SECOURS VEIN AND VASCULAR SPECIALISTS @ MIH below.

NPI Profile for
MARY IMMACULATE HOSPITAL

NPI Number
1689047979
Enumeration Date

(more than 10 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
MARY IMMACULATE HOSPITAL
Doing Business As (dba): DBA BON SECOURS VEIN AND VASCULAR SPECIALISTS @ MIH
Primary location
12720 MCMANUS BLVD
SUITE 203
NEWPORT NEWS, VA 23602-4414
Phone: (757) 397-2383 Fax: (757) 673-0236
Mailing address
7007 HARBOUR VIEW BLVD
SUITE 108
SUFFOLK, VA 23435-3657
Phone: (757) 215-2784 Fax: (757) 215-2728
Organization Subpart
No
Authorized Official
KAREN SMITH
CREDENTIALING SPECIALIST
Phone: (757) 215-2784
Updated
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
2086S0129X
- Surgery / Vascular Surgery (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.