BON SECOURS SUFFOLK PRIMARY CARE
NPI 1922418235
Family Medicine in Suffolk, VA

Active since May 08, 2014CLIA 49D2083796 · Waiver
148 BURNETTS WAY, STE 107, SUFFOLK, VA 23434(757) 738-1375(757) 934-6935 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bon Secours Suffolk Primary Care NPPES

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

BON SECOURS SUFFOLK PRIMARY CARE (NPI 1922418235) is a healthcare organization registered as a family medicine in Suffolk, Virginia and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through September 11, 2026 and lists Stephan Quiriconi, Cfo, as its authorized official.

NPPES Registry Identity

NPI1922418235
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARYVIEW HOSPITAL
Location Address148 BURNETTS WAY, STE 107Suffolk, VA 23434-6149
Mailing Address8580 Magellan PkwyRichmond, VA 23227-1149 · (804) 627-5462 · Fax (866) 449-0896
Fax(757) 934-6935
Organization SubpartNo
Authorized OfficialStephan QuiriconiCfo · (804) 281-8301
Enumeration DateMay 8, 2014
Last NPPES UpdateMay 29, 2019
NPI 1922418235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

148 BURNETTS WAY, Suffolk, VA 23434

Other Names 1

Doing Business AsBon Secours Suffolk Primary Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 of Waiver 49D2083796

Bon Secours Suffolk Primary Care · Suffolk, VA
Active · expires Sep 11, 2026
CLIA Number49D2083796
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorHesed N. Mugaisi
Laboratory Phone(757) 738-1375
Laboratory LocationBon Secours Suffolk Primary Care148 Burnetts Way - Suite 107, Suffolk, VA 23434
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1922418235. It was assigned to this organization in the NPPES registry on May 8, 2014. The provider is doing business as Bon Secours Suffolk Primary Care.

Where is Maryview Hospital located?

Maryview Hospital is located at 148 Burnetts Way Ste 107, Suffolk, VA 23434. The listed phone number is (757) 738-1375.

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 of Waiver (number 49D2083796) is associated with this NPI, valid through September 11, 2026. 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 with the weekly NPPES data releases published by CMS.