SENTARA MEDICAL GROUP (NPI# 1164665824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164665824 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | UROLOGY OF VIRGINIA-WILLIAMSBURG |
| Practice Address |
400 Sentara Cir Suite 320 Williamsburg VA 23188-5716 |
| Practice Telephone | 7573454700 |
| Mailing Telephone | 7573454700 |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-12-28 |
| Authorized Official Name | MRS. ARRIE P HINES (MANAGER) |
| Authorized Official Telephone | 7572523339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Urology Of Virginia-Williamsburg | 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 |
400 SENTARA CIR SUITE 320 |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255325254 | Kerry C Prewitt | Internal Medicine | 400 Sentara Cir, Ste 320, Williamsburg, VA 23188-5716 | 2005-09-06 |
| 1508317884 | Yasmin Nuru | Nurse Practitioner | 400 Sentara Cir, Suite 450, Williamsburg, VA 23188-5716 | 2016-10-20 |
| 1912378662 | Urology of Virgina, Pllc | Urology | 400 Sentara Cir, Suite 310 Geddy Outpatient Center, Williamsburg, VA 23188-5716 | 2015-10-07 |
| 1225398936 | L&e Medical Associates LLC | Emergency Medicine | 400 Sentara Cir, Williamsburg, VA 23188-5716 | 2012-05-29 |
| 1942585310 | Williamsburg Emergency Physicians | Emergency Medicine | 400 Sentara Cir, Williamsburg, VA 23188-5716 | 2011-10-18 |
| 1033444039 | Sentara Medical Group | Internal Medicine | 400 Sentara Cir, Ste 320a, Williamsburg, VA 23188-5716 | 2009-10-08 |
| 1265668578 | Sentara Medical Group | Pediatrics | 400 Sentara Cir, Suite 310, Williamsburg, VA 23188-5716 | 2009-06-02 |
| 1134360274 | Sentara Medical Group | Surgery | 400 Sentara Cir, Ste 450, Williamsburg, VA 23188-5716 | 2009-03-19 |
| 1952556144 | Bonnie Webster Cooley | Nurse Practitioner | 400 Sentara Cir, Ste. 450, Williamsburg, VA 23188-5716 | 2008-12-01 |
| 1457553125 | Sentara Medical Group | Internal Medicine | 400 Sentara Cir, Ste 320, Williamsburg, VA 23188-5716 | 2007-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| 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 |
|---|---|---|---|---|
| 1679918700 | Amanda P Stiteler | Urology | 120 Kings Way Ste 3200, Williamsburg, VA 23185-2511 | 2013-05-02 |
| 1174635312 | Edward Bedell Freyfogle Jr. | Urology | 104 Hoylake, Williamsburg, VA 23188-7450 | 2006-08-31 |
| 1821076860 | Lawrence R. Volz | Urology | 400 Sentara Cir Ste 310, Williamsburg, VA 23188-5716 | 2006-01-09 |
| 1912378662 | Urology of Virgina, Pllc | Urology | 400 Sentara Cir, Suite 310 Geddy Outpatient Center, Williamsburg, VA 23188-5716 | 2015-10-07 |
| 1912227471 | Joseph Reza Habibi | Urology | 5424 Discovery Park Blvd, Suite 203, Williamsburg, VA 23188-2904 | 2010-06-08 |
| 1134303928 | Riverside Physician Services Inc | Urology | 120 Kings Way, Suite 3200, Williamsburg, VA 23185-2505 | 2007-12-28 |
| 1538148580 | Anthony J. Taylor | Urology | 120 Kings Way, Suite 3200, Williamsburg, VA 23185-2505 | 2006-01-10 |
| 1609854835 | Scott Vassar Burgess | Urology | 120 Kings Way, Suite 3200, Williamsburg, VA 23185-2505 | 2006-01-06 |
| 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 |
| 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 |
| 1053638890 | Maryview Hospital | Urology | 4037 Taylor Rd Ste A, Chesapeake, VA 23321-5500 | 2010-05-03 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
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.