SENTARA MEDICAL GROUP (NPI# 1053721621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053721621 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA HOSPITAL MEDICINE PHYSICIANS |
| Practice Address |
2300 Opitz Blvd Ste G-209 Woodbridge VA 22191-3311 |
| Practice Telephone | 7035230611 |
| Practice Fax Number | 7036702089 |
| Mailing Telephone | 7035230611 |
| Mailing Fax Number | 7036702089 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |
| Authorized Official Name | CINDY A TAYLOR (MANAGER) |
| Authorized Official Telephone | 7572523344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Hospital Medicine Physicians | 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 |
2300 OPITZ BLVD STE G-209 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730180944 | Bestpractices, Inc. | Emergency Medicine | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2005-08-10 |
| 1457967580 | Rodaba Ahmadi Meherzad | Specialist/Technologist, Other | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2020-09-23 |
| 1548800659 | Apsara Aryal | Nurse Practitioner | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2020-01-07 |
| 1255986147 | Premier Anesthesia of Virginia LLC | Nurse Anesthetist, Certified Registered | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2019-08-07 |
| 1457816522 | Imrad of Virginia Pllc | Radiology | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2019-02-04 |
| 1245704022 | Claire Caine | Nurse Anesthetist, Certified Registered | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2019-01-15 |
| 1912479692 | Mohammad Omar Malikasghar | Surgery | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2018-12-19 |
| 1811463086 | New Life Medical LLC | Internal Medicine | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2018-10-16 |
| 1396246732 | Chayamorn Leeraksakiat | Nurse Anesthetist, Certified Registered | 2300 Opitz Blvd, Woodbridge, VA 22191 | 2018-02-21 |
| 1386151587 | Libby Oldenburg | Nurse Anesthetist, Certified Registered | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2018-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922323435 | Lily O Otolorin | Hospitalist | 2337 Kew Gardens Dr, Woodbridge, VA 22191-6577 | 2010-03-29 |
| 1497001820 | Dhp of Potomac PC | Hospitalist | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2012-08-03 |
| 1285896555 | Hospital Medicine Physicians of Prince William County LLC | Hospitalist | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447811443 | S. Wyatt, Pllc | Hospitalist | 7457 Mook Ct, Mechanicsville, VA 23111-1452 | 2019-06-21 |
| 1568028082 | Daniel Kamara | Hospitalist | 1102 Commerce St # H, Lynchburg, VA 24504-1719 | 2019-05-10 |
| 1235521667 | Medical Solutions of Virginia, Inc | Hospitalist | 717 Elm Forest Ct, Chesapeake, VA 23322-7589 | 2015-02-23 |
| 1043521800 | Ashish Patel | Hospitalist | 7151 Jahnke Rd, Richmond, VA 23225 | 2010-06-27 |
| 1457672024 | Baidaa N Sullivani | Hospitalist | 3136 Turnberry Cir, Charlottesville, VA 22911-7489 | 2010-06-18 |
| 1700012473 | Abreham Baye Feleke | Hospitalist | Mcguire Va Medical Center 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2009-06-08 |
| 1134363427 | Yuri Maricich | Hospitalist | 977 Seminole Trl, #357, Charlottesville, VA 22901-2824 | 2009-04-30 |
| 1174790588 | James Hyun Jin So | Hospitalist | 4000 Barringer Ln, Apt 1938, Richmond, VA 23233-1158 | 2008-05-14 |
| 1861680662 | Riversbend Hospitalists P.C. | Hospitalist | 835 Club Ridge Ter, Chester, VA 23836-2746 | 2007-10-06 |
| 1578758587 | Alfonso Llano Md Pllc | Hospitalist | 2060 Thomas Bishop Ln, Virginia Beach, VA 23454-1143 | 2007-09-12 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
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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.