SENTARA MEDICAL GROUP (NPI# 1366608788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366608788 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA COMPREHENSIVE WEIGHT LOSS SOLUTIONS |
| Practice Address |
6333 Center Dr Icc Bldg 16 Norfolk VA 23502-4126 |
| Practice Telephone | 7572529500 |
| Practice Fax Number | 7579629801 |
| Mailing Telephone | 7572529500 |
| Mailing Fax Number | 7579629801 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2013-05-21 |
| 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 |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Comprehensive Weight Loss Solutions | 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 |
6333 CENTER DR ICC BLDG 16 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417935636 | Urology of Virginia, PC | Urology | 6333 Center Dr, Bldg. 16, Norfolk, VA 23502-4126 | 2006-01-06 |
| 1790165686 | Johnathan Tyree Dietrich Lee | Physician Assistant | 6333 Center Dr, Interstate Corporate Center # 16, Norfolk, VA 23502-4126 | 2015-06-04 |
| 1982039699 | Kathryn Kelly Abbott | Dietitian, Registered | 6333 Center Dr, Bldg #16, Norfolk, VA 23502-4126 | 2013-09-12 |
| 1427303247 | Jessica Jennae Reed | Dietitian, Registered | 6333 Center Dr, Bldg 16, Norfolk, VA 23502-4126 | 2012-07-18 |
| 1447498498 | Heidi K Ross | Physical Therapy Assistant | 6333 Center Dr, Norfolk, VA 23502-4126 | 2009-01-29 |
| 1730331570 | Charlene N Reyes | Physician Assistant | 6333 Center Dr, Bldg 16, Norfolk, VA 23502-4126 | 2008-10-10 |
| 1023290319 | Sentara Medical Group | Urology | 6333 Center Dr, Bldg 16, Norfolk, VA 23502-4126 | 2007-11-29 |
| 1922087972 | Steven M. Schlossberg | Urology | 6333 Center Dr, Bldg. 16, Norfolk, VA 23502-4106 | 2006-01-10 |
| 1497733505 | Rebekah A. Parker | Physical Therapist | 6333 Center Dr, Bldg. 16, Norfolk, VA 23502-4106 | 2006-01-09 |
| 1992783005 | Mary Allan F. Martinez | Nurse Practitioner | 6333 Center Dr, Bldg. 16, Norfolk, VA 23502-4106 | 2006-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255728374 | Malinda Lyon | Surgery | 8150 Shore Drive, #522, Norfolk, VA 23518 | 2015-04-16 |
| 1336567601 | Ryan Carver | Surgery | 880 Kempsville Rd Ste 1000, Norfolk, VA 23502-3978 | 2014-04-02 |
| 1891052676 | Conor Francis Hynes | Surgery | 1530 Gilbert St Ste 2000, Norfolk, VA 23511 | 2012-04-18 |
| 1871867747 | Brian Joseph Kennerley | Surgery | U. S. Marine Corps Forces Command, 1775 Forrestal Drive Bldg 33, Norfolk, VA 23511 | 2012-02-23 |
| 1144590779 | Edward Albert Pollard | Surgery | 17 Lois Ln, Norfolk, MA 02056-1823 | 2012-01-12 |
| 1164683009 | Stephanie K Repole | Surgery | 155 Kingsley Ln Ste 405, Norfolk, VA 23505-4629 | 2008-06-23 |
| 1639277544 | Alan Harvey Jaffe | Surgery | 160 Kingsley Ln Ste 205, Norfolk, VA 23505-4600 | 2006-09-21 |
| 1437169042 | Venkat Manoranjan Reddy | Surgery | 400 Gresham Drive, Suite 308, Norfolk, VA 23507 | 2006-08-08 |
| 1114931938 | Thomas M Beutler | Surgery | 301 N 27th St, Suite 1, Norfolk, NE 68701-4457 | 2006-07-28 |
| 1699731901 | Andrew Y Reynolds | Surgery | 301 N 27th St Ste 8, Norfolk, NE 68701-4457 | 2006-04-25 |
| Find all providers in NORFOLK | ||||
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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.