SENTARA MEDICAL GROUP (NPI# 1114130333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114130333 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA PEDIATRIC PHYSICIANS |
| Practice Address |
1800 Camelot Dr Ste 200 Virginia Beach VA 23454-2440 |
| Practice Telephone | 7572529600 |
| Practice Fax Number | 7572759896 |
| Mailing Telephone | 7572529600 |
| Mailing Fax Number | 7572759896 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2014-10-06 |
| 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 | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sentara Pediatric 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 |
1800 CAMELOT DR STE 200 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23454-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921721 | David Walker Best | Internal Medicine | 1800 Camelot Dr, Suite 401, Virginia Beach, VA 23454-2440 | 2005-09-12 |
| 1124473889 | Tal Raizer | Nurse Practitioner | 1800 Camelot Dr, Suite 300, Virginia Beach, VA 23454-2440 | 2016-05-02 |
| 1245587278 | Christina Mccarville Hill | Physical Therapist | 1800 Camelot Dr, Suite 300, Virginia Beach, VA 23454-2440 | 2012-08-09 |
| 1851658819 | Rebecca J Demasi | Physician Assistant | 1800 Camelot Dr, Suite 300, Virginia Beach, VA 23454-2440 | 2012-04-16 |
| 1912297821 | Courtney A Miller | Physician Assistant | 1800 Camelot Dr, Suite 300, Virginia Beach, VA 23454-2440 | 2011-04-12 |
| 1083929491 | Vann Virginia Center for Orthopaedics | Occupational Therapist | 1800 Camelot Dr, Suite 300, Virginia Beach, VA 23454-2440 | 2010-08-10 |
| 1356579957 | Rebecca Mclain Ellis | Physical Therapist | 1800 Camelot Dr, Suite 300, Virginia Beach, VA 23454-2440 | 2009-06-23 |
| 1659523942 | Sentara Medical Group | Psychiatry & Neurology | 1800 Camelot Dr, Suite 201, Virginia Beach, VA 23454-2440 | 2008-10-17 |
| 1053572586 | Andrew B Coulter | Physical Therapist | 1800 Camelot Dr, Suite 300, Virginia Beach, VA 23454-2440 | 2008-06-18 |
| 1326215518 | Blake E Moore | Orthopaedic Surgery | 1800 Camelot Dr, Suite 300, Virginia Beach, VA 23454-2440 | 2008-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
| 1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
| 1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| Find all providers in zip 23454 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629428560 | Daniel Garcia | Pediatrics | 1924 Landstown Centre Way, Virginia Beach, VA 23456-1624 | 2016-06-21 |
| 1740546134 | Partners In Pediatric Care, P.C. | Pediatrics | 324 Louisa Ave Ste 118, Virginia Beach, VA 23454-4669 | 2012-04-10 |
| 1780906479 | Isaac G. Doron | Pediatrics | 117 66th St, Virginia Beach, VA 23451-2016 | 2010-02-22 |
| 1063612554 | Valeria Noelia Higinio | Pediatrics | 2088 Princess Anne Rd, Virginia Beach, VA 23456-4014 | 2007-07-23 |
| 1508903550 | Joseph W Familant | Pediatrics | 5700 Thurston Ave Ste 107, Virginia Beach, VA 23455-3302 | 2007-01-31 |
| 1649325242 | Childrens Medical Group Inc | Pediatrics | 4505 Columbus St Ste 250, Virginia Beach, VA 23462-5011 | 2007-01-24 |
| 1265517627 | Maria Teresa Josefa Tomas Torralba | Pediatrics | 804 Perez Ct, Virginia Beach, VA 23456-6730 | 2006-10-26 |
| 1548201973 | Megan K Bazil | Pediatrics | 2117 Mccomas Way, Suite 103, Virginia Beach, VA 23456-3908 | 2006-06-09 |
| 1700844016 | Laura Alois Charette | Pediatrics | 2021 Concert Dr, Suite 202, Virginia Beach, VA 23456-8082 | 2006-05-03 |
| 1154382018 | Ghazala Y Khan | Pediatrics | 4221 Pleasant Valley Rd, Suite 114, Virginia Beach, VA 23464-8519 | 2006-03-30 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
Please comment or provide details below to improve the information on SENTARA MEDICAL GROUP.
| 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.