EAGLE HARBOR MEDICAL ASSOCIATES
NPI 1316193741
Family Medicine in Carrollton, VA

Active since August 18, 2008CLIA 49D2000970 · Microscopy
13609 CARROLLTON BLVD STE 11, CARROLLTON, VA 23314(757) 238-8751(757) 238-8750 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eagle Harbor Medical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLE HARBOR MEDICAL ASSOCIATES (NPI 1316193741) is a healthcare organization registered as a family medicine in Carrollton, Virginia and active in the NPI registry since August 2008. The organization holds a CLIA Microscopy certificate valid through December 8, 2027 and lists Stephan Quiriconi, Cfo, as its authorized official.

NPPES Registry Identity

NPI1316193741
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARYVIEW HOSPITAL
Location Address13609 CARROLLTON BLVD STE 11Carrollton, VA 23314-3214
Mailing Address8580 Magellan PkwyRichmond, VA 23227-1149 · (804) 627-5462 · Fax (866) 449-0896
Fax(757) 238-8750
Organization SubpartYes
Authorized OfficialStephan QuiriconiCfo · (804) 281-8301
Enumeration DateAugust 18, 2008
Last NPPES UpdateMay 29, 2019
NPI 1316193741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
13609 CARROLLTON BLVD STE 11, Carrollton, VA 23314

Other Names 1

Doing Business AsEagle Harbor Medical Associates

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D2000970

Eagle Harbor Medical Associates · Carrollton, VA
Active · expires Dec 8, 2027
CLIA Number49D2000970
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateDecember 8, 2027
Laboratory DirectorKimberly Stone
Laboratory Phone(757) 238-8751
Laboratory LocationEagle Harbor Medical Associates13609 Carrollton Boulevard - Suite 11, Carrollton, VA 23314
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
13609 CARROLLTON BLVD STE 11
CARROLLTON, VA 23314
Family Medicine
13609 CARROLLTON BLVD STE 11
CARROLLTON, VA 23314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryview Hospital's NPI number?

The NPI number for Maryview Hospital is 1316193741. It was assigned to this organization in the NPPES registry on August 18, 2008. The provider is doing business as Eagle Harbor Medical Associates.

Where is Maryview Hospital located?

Maryview Hospital is located at 13609 Carrollton Blvd Ste 11, Carrollton, VA 23314. The listed phone number is (757) 238-8751.

What is Maryview Hospital's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Maryview Hospital hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D2000970) is associated with this NPI, valid through December 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maryview Hospital was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.