SENTARA MEDICAL GROUP (NPI# 1265617864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265617864 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA SPECIALTY SERVICES |
| Practice Address |
1950 Glenn Mitchell Dr Suite 310 Virginia Beach VA 23456-0019 |
| Practice Telephone | 7575070400 |
| Mailing Telephone | 7575070400 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | MRS. CINDY A TAYLOR (MANAGER) |
| Authorized Official Telephone | 7572522765 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Specialty Services | 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 |
1950 GLENN MITCHELL DR SUITE 310 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23456-0019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639179153 | Bill Wayne Berry Jr. | Otolaryngology | 1950 Glenn Mitchell Dr, Suite 310, Virginia Beach, VA 23456-0019 | 2005-07-27 |
| 1558782086 | Megan Leser | Nurse Practitioner | 1950 Glenn Mitchell Dr, Ste 300, Virginia Beach, VA 23456-0019 | 2013-12-31 |
| 1497183164 | Virginia Oncology Associates | Durable Medical Equipment & Medical Supplies | 1950 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0019 | 2013-10-16 |
| 1588942155 | Frederick Bagares | Physical Medicine & Rehabilitation | 1950 Glenn Mitchell Dr, Suite 208, Virginia Beach, VA 23456-0019 | 2011-07-29 |
| 1174822563 | Sentara Medical Group | Neurological Surgery | 1950 Glenn Mitchell Dr, Ste 200, Virginia Beach, VA 23456-0019 | 2011-03-24 |
| 1629378823 | Ashley Luna Childers | Physician Assistant | 1950 Glenn Mitchell Dr, Ste 300, Virginia Beach, VA 23456-0048 | 2010-10-22 |
| 1073849758 | Alyse Y Piper | Physician Assistant | 1950 Glenn Mitchell Dr, Ste 300, Virginia Beach, VA 23456-0019 | 2009-10-30 |
| 1124272463 | Evms Academic Physicians and Surgeons Health Services Foundation | Dermatology | 1950 Glenn Mitchell Dr, Suite 208, Virginia Beach, VA 23456-0019 | 2008-11-13 |
| 1760635650 | Ezmin George | Internal Medicine | 1950 Glenn Mitchell Dr, Suite 310, Virginia Beach, VA 23456-0019 | 2008-10-23 |
| 1518117829 | Sentara Medical Group | Audiologist | 1950 Glenn Mitchell Dr, Ste. 310b, Virginia Beach, VA 23456-0019 | 2008-09-23 |
| 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 | 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 | 23456 |
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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.