SENTARA MEDICAL GROUP (NPI# 1194009282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194009282 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA PULMONARY & CRITICAL CARE SPECIALISTS |
| Practice Address |
1975 Glenn Mitchell Dr Ste 202 Virginia Beach VA 23456-0167 |
| Practice Telephone | 7575078610 |
| Practice Fax Number | 7576890750 |
| Mailing Telephone | 7575078610 |
| Mailing Fax Number | 7576890750 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2012-05-09 |
| 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 |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Pulmonary & Critical Care 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 |
1975 GLENN MITCHELL DR STE 202 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23456-0167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205819828 | Lankhue Dinh | Physical Therapist | 1975 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0167 | 2005-11-29 |
| 1801277868 | Amanda Lillie Justus | Physician Assistant | 1975 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0167 | 2015-06-16 |
| 1699178343 | Jennifer Lee Rascoe | Registered Nurse | 1975 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0167 | 2014-10-08 |
| 1790114064 | Morgan A Hopkins | Physical Therapist | 1975 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0167 | 2013-11-06 |
| 1275874125 | Alexandra Fackrell | Occupational Therapist | 1975 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456 | 2013-03-01 |
| 1902144033 | Sentara Medical Group | Pain Medicine | 1975 Glenn Mitchell Dr, Virginia Beach, VA 23456-0167 | 2013-01-24 |
| 1194080648 | Ryan Joseph Davis | Physical Therapist | 1975 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0167 | 2012-07-11 |
| 1710291927 | Vann Virginia Center for Orthopaedics | Occupational Therapist | 1975 Glenn Mitchell Dr, Suite 300, Virginia Beach, VA 23456-0167 | 2010-07-29 |
| 1649317652 | James Joseph Exner | Pharmacist | 1975 Glenn Mitchell Dr, Suite 104, Virginia Beach, VA 23456 | 2007-01-31 |
| 1790837854 | Platinum Eye Care LLC | Optometrist | 1975 Glenn Mitchell Dr, Suite 104, Virginia Beach, VA 23456-0167 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336679349 | Joelene Grandy | Contractor | 1892 Riverrock Arch, Virginia Beach, VA 23456 | 2017-06-13 |
| 1023568995 | Red Mill Pediatric Dentistry and Behl Orthodontics Pllc | Dentist | 2033 Fisher Arch, Ste 100, Virginia Beach, VA 23456 | 2016-10-04 |
| 1609235803 | Maria Teresa Olivas | Registered Nurse | 3212 Fluuanna Circle, Virginia Beach, VA 23456 | 2016-02-16 |
| 1326434747 | Catharine White Cartwright | Physician Assistant | 2501 James Madison Blvd, Virginia Beach, VA 23456 | 2015-04-13 |
| 1598153785 | Harris Teeter LLC | Pharmacy | 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 | 2014-12-23 |
| 1881034023 | Kimberly Ann Benson | Dentist | 2105 Princess Anne Road, Suite 108, Virginia Beach, VA 23456 | 2013-07-02 |
| 1124378450 | Phyllis A. Wilson | Psychologist | 1249 Eagle Way, Virginia Beach, VA 23456 | 2012-09-13 |
| 1033477807 | Wolfgang J. Bay | Dentist | 1625 Salem Road #101, Virginia Beach, VA 23456 | 2012-04-30 |
| 1881974475 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2232 General Booth Blvd, Virginia Beach, VA 23456 | 2011-08-26 |
| 1780988857 | Casey Snyder | Dentist | 2484 North Landing Road, Virginia Beach, VA 23456 | 2011-01-05 |
| Find all providers in zip 23456 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1285768465 | Virginia Medical Specialists, Plc | Internal Medicine | 1008 First Colonial Rd Ste 103, Virginia Beach, VA 23454-3071 | 2007-03-16 |
| 1245336510 | Pulmonary Physicians of Tidewater PC | Internal Medicine | 816 Independence Boulevard, Suite 2-b, Virginia Beach, VA 23455-6010 | 2006-09-15 |
| 1033125927 | Gregory J Wcisel | Internal Medicine | 1168 First Colonial Rd Ste 100, Virginia Beach, VA 23454-2444 | 2006-07-31 |
| 1164757498 | Edwin Cruz Md & Co. Inc. | Internal Medicine | 1712 Stone Church Mews, Virginia Beach, VA 23455-4374 | 2009-10-05 |
| 1568627834 | Pulmonary Medicine of Virginia Beach, Inc. | Internal Medicine | 1008 First Colonial Rd, Suite 103, Virginia Beach, VA 23454-3071 | 2008-07-25 |
| 1194912618 | Rana J Khan | Internal Medicine | 1008 First Colonial Rd, Virginia Beach, VA 23454-3071 | 2007-09-28 |
| 1104019389 | Sentara Medical Group | Internal Medicine | 5555 Greenwich Rd, Suite 501, Virginia Beach, VA 23462-6542 | 2007-08-22 |
| 1003937822 | Virginia Medical Specialist, Plc | Internal Medicine | 816 Independence Blvd, Ste 3c, Virginia Beach, VA 23455-6010 | 2007-04-02 |
| 1205942281 | Anil Nanubhai Patel | Internal Medicine | 816 Independence Blvd, Suite # 3c, Virginia Beach, VA 23455-6010 | 2006-08-22 |
| 1306856133 | Madhukar Kaloji | Internal Medicine | 700 Independence Cir Ste 3d, Virginia Beach, VA 23455-6405 | 2006-08-08 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23456 |
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.