OrganizationActive
Mary Immaculate Hospital LLC
NPI 1205142791 · Surgery Physician · Newport News, VA
Mary Immaculate Hospital LLC is a Surgery Physician organization in Newport News, VA (NPI 1205142791).
Provider details
- NPI number
- 1205142791
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Mary Immaculate Hospital LLC
- Organization subpart
- Yes
- Authorized official
- Wilbur Gay, Cfo(864) 561-7672
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12720 Mcmanus Blvd Ste 305
Newport News, VA 23602-4414
Phone: (757) 947-3170
Fax: (757) 947-3180
Street-level locationGet directions
Mailing address
8580 Magellan Pkwy
Richmond, VA 23227-1149
Other names (DBA / former)
- Doing business as
- Bon Secours Surgical Specialists
- Doing business as
- Bon Secours Surgical Specialists
Registry dates
- Enumerated
- 2010-08-23
- Last updated
- 2020-09-21
- Certified
- 2020-09-21
Frequently asked questions
- What is Mary Immaculate Hospital LLC's NPI number?
- Mary Immaculate Hospital LLC's National Provider Identifier (NPI) is 1205142791, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary Immaculate Hospital LLC?
- Mary Immaculate Hospital LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Immaculate Hospital LLC located?
- Mary Immaculate Hospital LLC's practice location on file with NPPES is 12720 Mcmanus Blvd Ste 305, Newport News, VA 23602-4414.
- What is Mary Immaculate Hospital LLC's phone number?
- The practice phone number listed in the NPPES registry for Mary Immaculate Hospital LLC is (757) 947-3170.
- Who is the authorized official for Mary Immaculate Hospital LLC?
- The authorized official listed on Mary Immaculate Hospital LLC's NPPES record is Wilbur Gay, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary Immaculate Hospital LLC's NPI active?
- Yes — Mary Immaculate Hospital LLC's NPI (1205142791) is active in the NPPES registry as of the last update on 2020-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.