SENTARA MEDICAL GROUP (NPI# 1114175304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114175304 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | UROLOGY OF VIRGINIA |
| Practice Address |
2000 Meade Pkwy Suffolk VA 23434-4259 |
| Practice Telephone | 7579349300 |
| Mailing Telephone | 7579349300 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2009-02-19 |
| Authorized Official Name | ARRIE P HINES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7572523292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Urology of Virginia | 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 |
2000 MEADE PKWY |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434-4259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568466209 | Bayview Medical Center, Inc | Clinic/Center | 2000 Meade Pkwy, Suffolk, VA 23434-4259 | 2005-06-10 |
| 1053804765 | Franklin Clinic Corp | Orthopaedic Surgery | 2000 Meade Pkwy, Suffolk, VA 23434 | 2018-06-08 |
| 1508389552 | Allison Sinesi | Physician Assistant | 2000 Meade Pkwy, Suffolk, VA 23434-4259 | 2017-07-21 |
| 1821542085 | Letitia Juday | Physician Assistant | 2000 Meade Pkwy, Suffolk, VA 23434-4259 | 2016-08-05 |
| 1376973420 | Suffolk Surgical Associates LLC | Surgery | 2000 Meade Pkwy, Suffolk, VA 23434-4259 | 2013-11-26 |
| 1366799785 | Vaishnavi Challapalli Sri | Internal Medicine | 2000 Meade Pkwy, Ste 100, Suffolk, VA 23434-4259 | 2012-08-06 |
| 1740545029 | Melissa Banks Connolly | Nurse Practitioner | 2000 Meade Pkwy, Suffolk, VA 23434-4259 | 2012-07-12 |
| 1518220219 | Laura B Currence | Nurse Practitioner | 2000 Meade Pkwy, Suffolk, VA 23434-4259 | 2012-06-19 |
| 1568725380 | Myria Gunn Black | Nurse Practitioner | 2000 Meade Pkwy, Suffolk, VA 23434-4259 | 2012-06-18 |
| 1902166226 | Sentara Medical Group | Surgery | 2000 Meade Pkwy, Suffolk, VA 23434-4259 | 2012-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033198072 | Nathan P Goldin | Urology | 7185 Harbour Towne Pkwy S Ste 200, Suffolk, VA 23435-3796 | 2006-01-10 |
| 1639456452 | Urology of Virgina, Pllc | Urology | 2000 Meade Pkwy, Suffolk, VA 23434-4259 | 2011-11-08 |
| 1598042319 | Urology of Virgina, Pllc | Urology | 7185 Harbour Towne Pkwy S Ste 200, Suffolk, VA 23435-3796 | 2011-11-08 |
| 1831414739 | Raman Unnikrishnan | Urology | 7185 Harbour Towne Pkwy S Ste 200, Suffolk, VA 23435-3796 | 2010-04-02 |
| 1033378344 | Akinwunmi Ojo-carons | Urology | 7185 Harbour Towne Pkwy S Ste 200, Suffolk, VA 23435-3796 | 2008-06-03 |
| 1033391156 | Sentara Medical Group | Urology | 2790 Godwin Blvd, Suite 320, Suffolk, VA 23434-8151 | 2007-11-30 |
| 1386600062 | Miley Wesson Walker | Urology | 7185 Harbour Towne Pkwy S Ste 200, Suffolk, VA 23435-3796 | 2006-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315929 | Potomac Urology Center, P.C. | Urology | 1800 N Beauregard St Ste 300, Alexandria, VA 22311-5879 | 2020-01-15 |
| 1477015170 | Eric J W Choe Md PC | Urology | 2826 Old Lee Hwy Ste 300, Fairfax, VA 22031-4346 | 2019-04-02 |
| 1477055317 | Blue Ridge Medical Management Corporation | Urology | 16000 Johnston Memorial Dr Ste 309, Abingdon, VA 24211-7664 | 2018-03-07 |
| 1588185797 | Urology Health Consulting PC | Urology | 44055 Riverside Pkwy Ste 244, Leesburg, VA 20176-5176 | 2017-06-28 |
| 1659728889 | Loudoun Medical Group PC | Urology | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2016-05-18 |
| 1124435664 | Chesterfield Urology, LLC | Urology | 16901 Blakeway Pl, Moseley, VA 23120-1369 | 2014-07-16 |
| 1679918700 | Amanda P Stiteler | Urology | 120 Kings Way Ste 3200, Williamsburg, VA 23185-2511 | 2013-05-02 |
| 1801137963 | Joel Barry Alperstein | Urology | 4041 University Dr Ste 450, Fairfax, VA 22030-3410 | 2013-03-13 |
| 1417261256 | Nicanor B. Concepcion, M.d. P.C. | Urology | 624 Park Avenue, Norton, VA 24273-0909 | 2010-08-04 |
| 1780902981 | Paulina G Wilson | Urology | 8503 Arlington Blvd Ste 310, Fairfax, VA 22031-4629 | 2010-05-12 |
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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.