Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Immaculate Hospital LLC

Organization Surgery Physician · NPI 1205142791

Mary Immaculate Hospital LLC provides Surgery Physician services in Newport News, Virginia. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12720 McManus Blvd Ste 305
Newport News, VA 23602-4414
Phone: (757) 947-3170
Fax: (757) 947-3180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1205142791
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMary Immaculate Hospital LLC
Authorized official Wilbur Gay — Cfo · (864) 561-7672
Other names Bon Secours Surgical Specialists; Bon Secours Surgical Specialists
NPI enumeratedAugust 23, 2010
Last updated in NPPESSeptember 21, 2020
Certification dateSeptember 21, 2020
Mailing address8580 Magellan Pkwy, Richmond, VA 23227-1149

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