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MARY IMMACULATE AMBULATORY SURGERY CENTER LLC
NPI 1346270329
Clinic/Center - Ambulatory Surgical in Newport News, VA

Active since July 04, 2006
12720 MCMANUS BLVD, STE 103, NEWPORT NEWS, VA 23602(757) 369-7000(757) 369-3465 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2024, Dec 4, 2019, Sep 25, 2018 (3 updates tracked since 2018).

About Mary Immaculate Ambulatory Surgery Center Llc NPPES

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

MARY IMMACULATE AMBULATORY SURGERY CENTER LLC (NPI 1346270329) is a healthcare organization registered as an ambulatory surgical in Newport News, Virginia and active in the NPI registry since July 2006. The organization lists Kristen Oconnor, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1346270329
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMARY IMMACULATE AMBULATORY SURGERY CENTER LLC
Location Address12720 MCMANUS BLVD, STE 103Newport News, VA 23602-4441
Mailing Address12720 Mcmanus Blvd, Ste 103Newport News, VA 23602-4441 · (757) 369-7000 · Fax (757) 369-3465
Phone(757) 369-7000
Fax(757) 369-3465
Organization SubpartNo
Authorized OfficialKristen OconnorAuthorized Official · (615) 376-7315
Enumeration DateJuly 4, 2006
Last NPPES UpdateOctober 11, 20243 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1346270329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in VA · OH686
12720 MCMANUS BLVD, Newport News, VA 23602
Open in Google Maps ↗

Other Identifiers 2

OtherP00165787VA · Medicare Railroad
Medicaid010113181VA

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 of Waiver 49D1028695

Mary Immaculate Ambulatory Surgery Center · Newport News, VA
Expired · Jul 29, 2026
CLIA Number49D1028695
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 30, 2024
Certificate Expiration DateJuly 29, 2026
Laboratory DirectorNelson G. Keller
Laboratory Phone(757) 369-7000
Laboratory LocationMary Immaculate Ambulatory Surgery Center12720 Mcmanus Boulevard - Suite 103, Newport News, VA 23602
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Correction of toe joint deformity 28285
Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.
60 services29 patients
Imaging guidance for procedure, 60 minutes or less 76000
Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.
55 services51 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
33 services33 patients
Removal of knee cartilage using an endoscope 29881
This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.
17 services17 patients
Fusion of big toe at joint with foot 28750
Fusion of the big toe at the joint with the foot, also known as arthrodesis, is a surgical procedure aimed at relieving pain and improving stability. It involves permanently connecting the bones of the big toe and foot, which can limit movement but often enhances comfort and function.
16 services16 patients
Limited removal of abnormal shoulder joint tissue using endoscope 29822
This procedure involves the use of a tiny camera, known as an endoscope, to examine and remove abnormal tissue in the shoulder joint. It's a minimally invasive method, which means it requires smaller incisions, reducing recovery time and discomfort.
12 services11 patients

Other Providers at the Same Location NPPES 18

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

MARY IMMACULATE HOSPITAL
Internal Medicine (Cardiovascular Disease)
12720 MCMANUS BLVD, SUITE 201
NEWPORT NEWS, VA 23602
Newport News City (757) 875-5332
UGUR YILMAZ ANATOLIAN M.D
Psychiatry & Neurology (Neurology)
12720 MCMANUS BLVD
NEWPORT NEWS, VA 23602
Newport News City (757) 872-9797
DR. ANTHONY TERRACINA M.D.
Specialist
12720 MCMANUS BLVD, SUITE 305
NEWPORT NEWS, VA 23602
Newport News City (757) 947-3170
MONIKA R BROWN NP
Nurse Practitioner
12720 MCMANUS BLVD, SUITE 308
NEWPORT NEWS, VA 23602
Newport News City (757) 947-3840
MARY IMMACULATE HOSPITAL
Obstetrics & Gynecology (Hospice and Palliative Medicine)
12720 MCMANUS BLVD, SUITE 301
NEWPORT NEWS, VA 23602
Newport News City (757) 947-3838
DANIEL CALHOUN JR MD LLC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
12720 MCMANUS BLVD, SUITE 201
NEWPORT NEWS, VA 23602
Newport News City (757) 875-5400
DENBIGH ORTHOPAEDICS & SPORTS MEDICINE, PC
Specialist
12720 MCMANUS BLVD, SUITE 311
NEWPORT NEWS, VA 23602
Newport News City (757) 872-0548
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Internal Medicine (Hepatology)
12720 MCMANUS BLVD, SUITE 313
NEWPORT NEWS, VA 23602
Newport News City (757) 947-3190

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 Mary Immaculate Ambulatory Surgery Center LLC's NPI number?

The NPI number for Mary Immaculate Ambulatory Surgery Center LLC is 1346270329. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Mary Immaculate Ambulatory Surgery Center LLC located?

Mary Immaculate Ambulatory Surgery Center LLC is located at 12720 Mcmanus Blvd Ste 103, Newport News, VA 23602. The listed phone number is (757) 369-7000.

What is Mary Immaculate Ambulatory Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Mary Immaculate Ambulatory Surgery Center LLC was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.