# MARYVIEW HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARYVIEW HOSPITAL
- **Other names:** Western Branch OB/GYN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104851104
- **Legal business name:** MARYVIEW HOSPITAL
- **Authorized official:** STEPHAN QUIRICONI (CFO)
- **Authorized official phone:** (804) 281-8301

## Contact information

- **Practice address:** 1040 UNIVERSITY BLVD STE 205, PORTSMOUTH, VA 23703-2650
- **Practice address phone:** (757) 484-2272
- **Practice address fax:** (757) 484-4620
- **Mailing address:** 8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
- **Mailing address phone:** (804) 627-5462
- **Mailing address fax:** (866) 449-0896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 05/29/2019