SENTARA MEDICAL GROUP (NPI# 1275747354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275747354 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA ENT AND ALLERGY SPECIALISTS |
| Practice Address |
1950 Glenn Mitchell Dr Suite 310 Virginia Beach VA 23456 |
| Practice Telephone | 7575070340 |
| Practice Fax Number | 7575070341 |
| Mailing Telephone | 7575070340 |
| Mailing Fax Number | 7575070341 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2011-11-29 |
| 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 | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | CLIA | 49D2014218 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara ENT and Allergy 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 |
1950 GLENN MITCHELL DR SUITE 310 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23456 |
| 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 | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588665137 | Gary Blair Moss | Allergy & Immunology | 1704 Sir William Osler Dr, Suite 300, Virginia Beach, VA 23454-3003 | 2005-08-04 |
| 1043290646 | Marguerite Slingluff Lengkeek | Allergy & Immunology | 1704 Sir William Osler Dr, Virginia Beach, VA 23454-3003 | 2006-01-19 |
| 1831172121 | Gregory George Pendell | Allergy & Immunology | 1704 Sir William Osler Dr, Virginia Beach, VA 23454-3003 | 2005-11-21 |
| 1558362939 | Harvey D Davis | Allergy & Immunology | 1704 Sir William Osler Dr, Virginia Beach, VA 23454-3003 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954764 | Premier Allergy and Asthma Centers, LLC | Allergy & Immunology | 8100 Ashton Ave Ste 207b, Manassas, VA 20109-5688 | 2020-05-19 |
| 1437630241 | Allergy Partners, Pllc | Allergy & Immunology | 100 Elden St Ste 10, Herndon, VA 20170-4833 | 2018-08-29 |
| 1780053587 | Allergy Partners, Pllc | Allergy & Immunology | 8136 Old Keene Mill Rd Ste A309, Springfield, VA 22152-1853 | 2015-09-22 |
| 1194130294 | Farah Nawaz Khan | Allergy & Immunology | 311 Maple Ave W Ste H, Vienna, VA 22180-4309 | 2014-06-26 |
| 1033470091 | Shahab S Virani | Allergy & Immunology | 1300 Thornton St Ste 200, Fredericksburg, VA 22401-4654 | 2012-06-06 |
| 1235414681 | Ahmad Hamad | Allergy & Immunology | 8233 Old Courthouse Rd Ste 230, Vienna, VA 22182 | 2011-10-17 |
| 1124358486 | Mehmet Eragan, Md | Allergy & Immunology | 3522 Pinetree Ter, Falls Church, VA 22041-1418 | 2010-01-10 |
| 1982869897 | Erin J Klaffky | Allergy & Immunology | 1415 Rolkin Ct Ste 102, Charlottesville, VA 22911-3643 | 2008-07-21 |
| 1114184967 | Karen Robbins | Allergy & Immunology | 1360 Beverly Rd Ste 103, Mc Lean, VA 22101-3621 | 2008-05-20 |
| 1356516546 | Ananth Thyagarajan | Allergy & Immunology | 5210a Lyngate Ct, Burke, VA 22015-4697 | 2008-04-28 |
| Find all providers with the same taxonomy | ||||
| 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.