SENTARA MEDICAL GROUP (NPI# 1225155914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225155914 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA FAMILY & INTERNAL MEDICINE PHYSICIANS |
| Practice Address |
4001 Coliseum Dr Ste 300 Hampton VA 23666-6257 |
| Practice Telephone | 7578272025 |
| Practice Fax Number | 7572759802 |
| Mailing Telephone | 7578272025 |
| Mailing Fax Number | 7572759802 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2014-05-02 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sentara Family & Internal Medicine 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 |
4001 COLISEUM DR STE 300 |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-6257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124093166 | Sandra S Johnson | Internal Medicine | 4001 Coliseum Dr, Ste 300-310, Hampton, VA 23666-6257 | 2006-02-22 |
| 1982011540 | Sentara Health Care | Clinic/Center | 4001 Coliseum Dr, St 200, Hampton, VA 23666-6257 | 2014-07-16 |
| 1649530965 | Sentara Medical Group | Internal Medicine | 4001 Coliseum Dr, Ste 310, Hampton, VA 23666-6257 | 2012-05-21 |
| 1255587697 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 4001 Coliseum Dr, Ste. 310, Hampton, VA 23666-6257 | 2008-08-18 |
| 1942469945 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 4001 Coliseum Dr, Suite 305, Hampton, VA 23666-6256 | 2008-06-04 |
| 1720251226 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 4001 Coliseum Dr, Ste. 300, Hampton, VA 23666-6257 | 2008-04-07 |
| 1568497675 | Melvin Russell Johnson | Internal Medicine | 4001 Coliseum Dr, Ste 310, Hampton, VA 23666-6257 | 2006-07-11 |
| 1427023340 | Robert H Hunter | Family Medicine | 4001 Coliseum Dr, Ste 300-310, Hampton, VA 23666-6257 | 2006-02-22 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053843987 | Jessica Weng | Family Medicine | 191 Fox Hill Rd Ste D, Hampton, VA 23669-2360 | 2017-03-30 |
| 1831621887 | Allen Family Healthcare LLC | Family Medicine | 149 Berkeley Way, Hampton, GA 30228-4082 | 2017-03-29 |
| 1700174117 | Rodney Leron Thompson | Family Medicine | Patient First - Hampton, 2304 W Mercury Blvd, Hampton, VA 23666 | 2011-07-19 |
| 1255626602 | Daniel Adrian Whitelocke | Family Medicine | 402 S Lee St, Hampton, AR 71744-8615 | 2011-06-14 |
| 1386893592 | Carlos F Acosta Md Ltd | Family Medicine | 2100 Hartford Rd, Hampton, VA 23666-2409 | 2008-09-11 |
| 1396908067 | Robert Scott Fell | Family Medicine | 850 Enterprise Pkwy Ste 2200, Hampton, VA 23666-6252 | 2008-07-03 |
| 1578781704 | Shahbaz Khan | Family Medicine | 850 Gateway Blvd., Hampton, VA 23666 | 2007-04-23 |
| 1477680858 | Tidewater Family Medicine, P C | Family Medicine | 2114a Hartford Rd, Hampton, VA 23666-2409 | 2007-02-27 |
| 1720150246 | North Hunterdon Physician Assoc | Family Medicine | 37 Rupell Rd, Hampton, NJ 08827 | 2006-11-14 |
| 1740350669 | Shirin Valiani | Family Medicine | 25 Goss Drive, Hampton, GA 30228-1855 | 2006-11-08 |
| 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.