SENTARA MEDICAL GROUP (NPI# 1083801294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083801294 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA SURGERY SPECIALISTS |
| Practice Address |
3000 Coliseum Dr Suite 200 Hampton VA 23666-5963 |
| Practice Telephone | 7577367280 |
| Practice Fax Number | 7572243541 |
| Mailing Telephone | 7577367280 |
| Mailing Fax Number | 7572243541 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2012-05-16 |
| 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 |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Surgery 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 |
3000 COLISEUM DR SUITE 200 |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-5963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355075 | Ilham Cherrouk Grant | Hospitalist | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2005-06-10 |
| 1639783798 | Aftab Dee Shaikh | Physician Assistant | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2020-09-04 |
| 1205462496 | Lindsay Morgan Wilson | Nurse Practitioner | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2020-03-19 |
| 1346898715 | Megan Leanne Mancinelli | Physician Assistant | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2019-08-29 |
| 1811541519 | Hope Christopher Page | Nurse Practitioner | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2019-07-31 |
| 1417417213 | Katherine Marie Boucher | Nurse Practitioner | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2019-03-20 |
| 1861958712 | Emily Dickerson | Nurse Practitioner | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2019-02-15 |
| 1013481829 | Mary Townsend Adams | Nurse Practitioner | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2019-01-15 |
| 1801327457 | Rachel Lavender | Physician Assistant | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2017-03-24 |
| 1629427588 | Mary Kathryn Winters | Physician Assistant | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2016-06-10 |
| Find all providers in the same location | ||||
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588613103 | Carlos E Montenegro | Surgery | 408 Jackson Ave E, Hampton, SC 29924 | 2006-05-09 |
| 1598176380 | Madison Griffin Lashley | Surgery | 77 Nealy Ave Bldg 257, Hampton, VA 23665 | 2014-05-14 |
| 1326300781 | Coastal Carolina Physician Practices, LLC | Surgery | 408 Jackson Ave E, Hampton, SC 29924-3602 | 2012-06-12 |
| 1366700684 | Kenneth Sadler Meyers | Surgery | 3000 Coliseum Dr Ste 200, Hampton, VA 23666-5963 | 2012-04-24 |
| 1730310970 | Max Chae | Surgery | 77 Nealy Ave, Hampton, VA 23665-2040 | 2009-08-05 |
| 1285893495 | Robert Benjamin Swanson | Surgery | 77 Nealy Ave, 633d Medical Group, Hampton, VA 23665-2040 | 2008-06-03 |
| 1841474020 | Kelly Michelle Meehan | Surgery | 77 Nealy Ave, Langley Afb, Hampton, VA 23665-2040 | 2007-12-23 |
| 1497841373 | Hampton Roads Surgical Associates PC | Surgery | 3000 Coliseum Drive, Suite 203, Hampton, VA 23666 | 2006-10-05 |
| 1801991849 | Southern Surgery Specialists, LLC | Surgery | 408 Jackson Ave E, Hampton, SC 29924 | 2006-09-14 |
| 1073520359 | Greg Y Kim | Surgery | 3000 Coliseum Dr, Ste 200, Hampton, VA 23666-5963 | 2006-08-01 |
| Find all providers in HAMPTON | ||||
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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.