SENTARA MEDICAL GROUP (NPI# 1063815116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063815116 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA RHEUMATOLOGY SPECIALISTS |
| Practice Address |
4000 Coliseum Dr Ste 310 Hampton VA 23666-5983 |
| Practice Telephone | 7577362540 |
| Practice Fax Number | 7572516534 |
| Mailing Telephone | 7577362540 |
| Mailing Fax Number | 7572516534 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | DORIS PRINCE (MANAGER) |
| Authorized Official Telephone | 7572522760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Rheumatology Specialists | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4001 Coliseum Dr, Ste 310, Hampton, VA 236666257 | 7577362540 | 7572516534 |
| 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 |
4000 COLISEUM DR STE 310 |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-5983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144365198 | Robert M Kowalewski | Internal Medicine | 4000 Coliseum Dr Ste 310, Hampton, VA 23666-5983 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1598020935 | Stacy Tanner | Internal Medicine | 850 Enterprise Pkwy Ste 2000, Hampton, VA 23666-6252 | 2012-07-11 |
| 1144365198 | Robert M Kowalewski | Internal Medicine | 4000 Coliseum Dr Ste 310, Hampton, VA 23666-5983 | 2007-02-20 |
| 1770961237 | Sentara Medical Group | Internal Medicine | 4000 Coliseum Dr, Ste 310, Hampton, VA 23666-5906 | 2015-05-15 |
| 1053656967 | Riverside Physician Services Inc | Internal Medicine | 850 Enterprise Pkwy, Suite 2000, Hampton, VA 23666-6251 | 2012-12-04 |
| 1831446020 | Narayana Swamy | Internal Medicine | 850 Enterprise Pkwy Ste 2000, Hampton, VA 23666-6252 | 2012-08-07 |
| 1285889287 | Hampton Roads Arthritis Center | Internal Medicine | 2115 Executive Dr, Suite 6c, Hampton, VA 23666-2499 | 2008-11-18 |
| 1427132695 | Walter Rudolph Wallingford | Internal Medicine | 2115 Executive Dr, Suite 6c, Hampton, VA 23666-2499 | 2006-10-24 |
| 1245290907 | David B Maxwell | Internal Medicine | 850 Enterprise Pkwy, Suite 2000, Hampton, VA 23666-6251 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417334640 | Rabia Gill | Internal Medicine | 5504 Riverside Heights Way, Richmond, VA 23225-2477 | 2015-04-27 |
| 1821495656 | Arthritis and Rheumatology Clinical Center of Northern Virginia, Pllc | Internal Medicine | 8130 Boone Blvd Ste 340, Vienna, VA 22182-2640 | 2014-11-21 |
| 1225441363 | Peter Ellis Lipsky | Internal Medicine | 1545 London Rd, Charlottesville, VA 22901-8881 | 2014-06-06 |
| 1457770216 | Nishant Desai | Internal Medicine | 9221 Stony Crest Cir Apt 325, Richmond, VA 23235-6894 | 2014-04-09 |
| 1588902399 | Janaki Pinakin Patel | Internal Medicine | 70 Medical Center Cir Ste 201, Fishersville, VA 22939 | 2013-01-29 |
| 1477804680 | Collaborative Arthritis Care, Inc | Internal Medicine | 300a Temple Lake Dr Ste 1, Colonial Heights, VA 23834-2972 | 2012-09-27 |
| 1922366012 | Advanced Arthritis and Rheumatology Care, PC | Internal Medicine | 2324 Colony Crossing Pl, Midlothian, VA 23112-4280 | 2012-04-26 |
| 1669783221 | Timothy James Henshaw | Internal Medicine | 6335 Corntassel Ln, Roanoke, VA 24018-5625 | 2010-06-29 |
| 1396063319 | Yousef Zarbalian | Internal Medicine | 6800 Fleetwood Rd Ste 110, Mc Lean, VA 22101-3604 | 2010-05-14 |
| 1962657411 | Gineth Paola Pinto-patarroyo | Internal Medicine | 8100 Ashton Ave Ste 215, Manassas, VA 20109-5688 | 2008-11-25 |
| Find all providers with the same taxonomy | ||||
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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.