SENTARA MEDICAL GROUP (NPI# 1396133344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396133344 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA FAMILY & INTERNAL MEDICINE PHYSICIANS |
| Practice Address |
816 Industrial Ave Ste 100 Chesapeake VA 23324-2615 |
| Practice Telephone | 7572339055 |
| Practice Fax Number | 7572285575 |
| Mailing Telephone | 7572339055 |
| Mailing Fax Number | 7572285575 |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |
| Authorized Official Name | CINDY A TAYLOR (MANAGER) |
| Authorized Official Telephone | 7572523344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | VA | Allopathic & Osteopathic Physicians | |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | VA | Suppliers | |
| Y | 207Q00000X | Family Medicine | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| 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 |
816 INDUSTRIAL AVE STE 100 |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23324-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518286863 | American Maritime Holdings Inc | Pharmacy | 816 Industrial Ave, Suite 100, Chesapeake, VA 23324-2615 | 2010-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779588 | Cynthia Dupree | Counselor | 1145 Commerce Ave, Chesapeake, VA 23324 | 2020-01-14 |
| 1699263780 | Barbara Ann Schweiger | Speech-Language Pathologist | 2601 Broad Street, Chesapeake, VA 23324 | 2018-04-25 |
| 1346738531 | Deanne Melworth Lindsey | Speech-Language Pathologist | 2107 Liberty Street, Chesapeake, VA 23324 | 2018-04-24 |
| 1265801104 | Vamedicabi,llc | Non-emergency Medical Transport (VAN) | 3404 Bainbridge Blvd, Chesapeake, VA 23324 | 2015-09-22 |
| 1225358781 | Madelyn Ortiz Brito | Psychologist | 2710 Ike St Trlr 22, Chesapeake, VA 23324 | 2010-06-08 |
| 1427385780 | Ivyrehab Sept, LLC | Physical Therapist | 801 Poindexter Street, Suite 219, Chesapeake, VA 23324 | 2009-11-06 |
| 1225102510 | Rodolfo Cejas Rosas | Internal Medicine | 2709 Campostilla Rd, Ste E, Chesapeake, VA 23324 | 2006-11-20 |
| 1043381759 | Chesapeake City Public Schools | Local Education Agency (LEA) | 2107 E. Liberty St, Chesapeake, VA 23324 | 2006-11-13 |
| 1679668941 | Lisa Cordero | Nurse Practitioner | 490 Liberty Street, Chesapeake, VA 23324 | 2006-10-04 |
| 1437259801 | Robert James Mealy IIi | Dentist | 2737 Campostella Rd, Chesapeake, VA 23324 | 2006-09-25 |
| Find all providers in zip 23324 | ||||
| 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 |
|---|---|---|---|---|
| 1770190191 | First Care Collaborative | Family Medicine | 4053 Taylor Rd Ste K, Chesapeake, VA 23321-5526 | 2020-09-29 |
| 1578958211 | Angel Miller | Family Medicine | 1405 Kempsville Rd, Chesapeake, VA 23320 | 2015-03-31 |
| 1114339611 | Jodi A Newcombe | Family Medicine | 725 Volvo Pkwy Ste 100, Chesapeake, VA 23320-1621 | 2014-06-02 |
| 1306257043 | Marvyn Grayson II | Family Medicine | 1933 Edwin Dr Ste 208, Chesapeake, VA 23322-6531 | 2014-05-15 |
| 1154612778 | Ronald Curtis Galyon | Family Medicine | 637 Kingsborough Sq Ste F, Chesapeake, VA 23320-4944 | 2011-04-30 |
| 1083935209 | David J Zelinskas | Family Medicine | 1016 Justis St., Chesapeake, VA 23325-2516 | 2010-06-22 |
| 1912136946 | Ryan Eugene Light | Family Medicine | 1100 Volvo Pkwy, Suite 100, Chesapeake, VA 23320-3341 | 2009-07-13 |
| 1700030848 | Glenn Barron Cheshire | Family Medicine | 1218 Lilac Ave, Chesapeake, VA 23325-2920 | 2008-11-14 |
| 1124279435 | Patient First Richmond Medical Group Pllc | Family Medicine | 2425 Taylor Road, Chesapeake, VA 23321 | 2008-10-06 |
| 1275784555 | Jolson Korah Tharakan | Family Medicine | 648 Grassfield Pkwy, Suite 1, Chesapeake, VA 23322-7465 | 2008-10-06 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23324 |
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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.