SENTARA MEDICAL GROUP (NPI# 1033444039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033444039 |
Entity Type | Organization |
Organization Name | SENTARA MEDICAL GROUP |
Other Organization Name | SENTARA PULMONARY & CRITICAL CARE SPECIALISTS |
Practice Address |
400 Sentara Cir Ste 320a Williamsburg VA 23188-5716 |
Practice Telephone | 7573953975 |
Practice Fax Number | 7575109190 |
Mailing Telephone | 7573953975 |
Mailing Fax Number | 7575109190 |
Enumeration Date | 2009-10-08 |
Last Update Date | 2011-10-18 |
Authorized Official Name | MRS. CINDY A TAYLOR (MANAGER) |
Authorized Official Telephone | 7572523344 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | MEDICARE GROUP NUMBER | C02033 | 01 |
Other Name | Type Code |
---|---|
Sentara Pulmonary & Critical Care Specialists | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811533375 | Sentara Medical Group | Internal Medicine | 1101 First Colonial Rd Ste 300, Virginia Beach, VA 23454-2409 | 2019-11-20 |
1285115998 | Sentara Medical Group | Surgery | 397 Little Neck Rd Ste 110, Virginia Beach, VA 23452-5774 | 2018-08-22 |
1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
1073010369 | Sentara Medical Group | Preventive Medicine | 2760 Godwin Blvd Ste 101, Suffolk, VA 23434-8501 | 2018-04-12 |
1376043489 | Sentara Medical Group | Internal Medicine | 301 Riverview Ave Ste 670, Norfolk, VA 23510-1065 | 2018-02-15 |
1629586417 | Sentara Medical Group | Surgery | 1051 Loftis Blvd Ste 210, Newport News, VA 23606-3069 | 2018-01-16 |
1558879346 | Sentara Medical Group | Family Medicine | 301 Riverview Ave Ste 930, Norfolk, VA 23510-1068 | 2018-01-16 |
1942724620 | Sentara Medical Group | Surgery | 500 Sentara Cir Ste 100, Williamsburg, VA 23188-5727 | 2017-08-03 |
1265954747 | Sentara Medical Group | Internal Medicine | 1933 Edwin Dr Ste 208a, Chesapeake, VA 23322-6531 | 2017-07-17 |
1487195111 | Sentara Medical Group | Clinical Medical Laboratory | 1933 Edwin Dr, Suite 104, Chesapeake, VA 23322-6531 | 2017-03-14 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Sentara Medical Group | 835 Glenrock Road, Norfolk, Virginia 23502 |
System for Award Management (SAM) Entities | SENTARA MEDICAL GROUP | 863 Glenrock Rd Ste 208, Norfolk, VA 23502-3701 |
North Carolina Corporations | Sentara medical Group | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
Street Address |
400 SENTARA CIR STE 320A |
City | WILLIAMSBURG |
State | VA |
Zip Code | 23188-5716 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255325254 | Kerry C Prewitt | Internal Medicine | 400 Sentara Cir, Ste 320, Williamsburg, VA 23188-5716 | 2005-09-06 |
1508317884 | Yasmin Nuru | Nurse Practitioner | 400 Sentara Cir, Suite 450, Williamsburg, VA 23188-5716 | 2016-10-20 |
1912378662 | Urology of Virgina, Pllc | Urology | 400 Sentara Cir, Suite 310 Geddy Outpatient Center, Williamsburg, VA 23188-5716 | 2015-10-07 |
1225398936 | L&e Medical Associates LLC | Emergency Medicine | 400 Sentara Cir, Williamsburg, VA 23188-5716 | 2012-05-29 |
1942585310 | Williamsburg Emergency Physicians | Emergency Medicine | 400 Sentara Cir, Williamsburg, VA 23188-5716 | 2011-10-18 |
1265668578 | Sentara Medical Group | Pediatrics | 400 Sentara Cir, Suite 310, Williamsburg, VA 23188-5716 | 2009-06-02 |
1164665824 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 400 Sentara Cir, Suite 320, Williamsburg, VA 23188-5716 | 2009-04-10 |
1134360274 | Sentara Medical Group | Surgery | 400 Sentara Cir, Ste 450, Williamsburg, VA 23188-5716 | 2009-03-19 |
1952556144 | Bonnie Webster Cooley | Nurse Practitioner | 400 Sentara Cir, Ste. 450, Williamsburg, VA 23188-5716 | 2008-12-01 |
1457553125 | Sentara Medical Group | Internal Medicine | 400 Sentara Cir, Ste 320, Williamsburg, VA 23188-5716 | 2007-06-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
Find all providers in zip 23188 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578905865 | Lung Specialist of Williamsburg PC | Internal Medicine | 121 Bulifants Blvd, Suite A, Williamsburg, VA 23188-5736 | 2013-07-27 |
1659646990 | Erica Elizabeth Schneider | Internal Medicine | 120 Kings Way Ste 2200, Williamsburg, VA 23185-2507 | 2012-03-20 |
1346235579 | Charles J Donlan Jr. | Internal Medicine | 120 Kings Way, Suite 2200, Williamsburg, VA 23185-2505 | 2005-09-14 |
1740275965 | Thomas Lee Munzel | Internal Medicine | 120 Kings Way, Suite 2200, Williamsburg, VA 23185-2505 | 2005-09-14 |
1366437592 | Knud Alexander Haraldsted | Internal Medicine | 120 Kings Way, Suite 2200, Williamsburg, VA 23185-2505 | 2005-09-14 |
1184617466 | Joe Joseph Fenn | Internal Medicine | 120 Kings Way, Ste 2200, Williamsburg, VA 23185-2505 | 2005-08-23 |
1710985239 | Asser A El-atfy | Internal Medicine | 120 Kings Way, Suite 2200, Williamsburg, VA 23185-2505 | 2005-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275132235 | Tidewater Lung and Sleep Center, Pllc | Internal Medicine | 4113 River Park Dr, Suffolk, VA 23435-3358 | 2020-10-21 |
1053814129 | Winchester Medical Center | Internal Medicine | 190 Campus Blvd Ste 410, Winchester, VA 22601-2872 | 2018-03-14 |
1104368943 | John Termini | Internal Medicine | 1154 Daleview Dr, Mc Lean, VA 22102-1540 | 2016-11-10 |
1073971610 | Pulmonary Center of Northern Virginia Pllc | Internal Medicine | 24585 Stone Carver Drive Ste 100, Aldie, VA 20105-2798 | 2016-02-09 |
1487060950 | Pulmonary Care Consultants of Northern Va | Internal Medicine | 19410 Coppermine Sq, Leesburg, VA 20176-6533 | 2014-07-06 |
1386067742 | Rashid Nayyar, M.d. PC | Internal Medicine | 6247 Rolling Spring Ct, Springfield, VA 22152-2242 | 2014-01-21 |
1124370093 | Fairfax Pulmonary Consulting LLC | Internal Medicine | 880 N Pollard St, #501, Arlington, VA 22203-1738 | 2012-10-02 |
1275824427 | Katherine Miller Price | Internal Medicine | 1 Park West Cir Ste 301, Midlothian, VA 23114-4518 | 2011-04-22 |
1245553031 | Piedmont Pulmonary Associates, P.C. | Internal Medicine | 3014 Watercrest Dr, Charlottesville, VA 22911-7223 | 2010-03-08 |
1851541288 | Sharmili Mathur | Internal Medicine | 19441 Golf Vista Plz Ste 230&310, Leesburg, VA 20176-8269 | 2008-09-22 |
Find all providers with the same taxonomy |
City | WILLIAMSBURG |
Zip Code | 23188 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.