SENTARA MEDICAL GROUP (NPI# 1417370610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417370610 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA ENDOCRINOLOGY SPECIALISTS |
| Practice Address |
1925 Glenn Mitchell Dr Ste 202 Virginia Beach VA 23456-0170 |
| Practice Telephone | 7575070900 |
| Practice Fax Number | 7573016462 |
| Mailing Telephone | 7575070900 |
| Mailing Fax Number | 7573016462 |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |
| 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 |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Endocrinology 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 |
1925 GLENN MITCHELL DR STE 202 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23456-0170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410413 | Patricia L Raymond | Internal Medicine | 1925 Glenn Mitchell Dr, Ste 102, Virginia Beach, VA 23456-0170 | 2005-07-11 |
| 1669813507 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 1925 Glenn Mitchell Dr, Ste 202, Virginia Beach, VA 23456-0170 | 2013-07-08 |
| 1659637460 | Wenhong Li | Family Medicine | 1925 Glenn Mitchell Dr, Ste 100, Virginia Beach, VA 23456-0170 | 2012-04-05 |
| 1447543624 | Mid-atlantic Women's Care, Plc | Specialist | 1925 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0170 | 2011-05-23 |
| 1538450507 | Sunny Anne Proferes | Physician Assistant | 1925 Glenn Mitchell Dr, Suite #206, Virginia Beach, VA 23456-0170 | 2011-04-26 |
| 1063747228 | Sentara Medical Group | Urology | 1925 Glenn Mitchell Dr, Suite 202, Virginia Beach, VA 23456-0170 | 2009-10-06 |
| 1811126816 | Marisa Ferrera Hofmann | Anesthesiology | 1925 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0170 | 2009-07-11 |
| 1912193350 | Gastrointestinal & Liver | Specialist | 1925 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0170 | 2007-09-19 |
| 1518073956 | Alice Eusebio Ordonez | Family Medicine | 1925 Glenn Mitchell Dr, Suite 100, Virginia Beach, VA 23456-0170 | 2006-08-21 |
| 1467488106 | Gunadhar Panigrahi | Internal Medicine | 1925 Glenn Mitchell Dr, Suite 202, Virginia Beach, VA 23456-0170 | 2006-06-24 |
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366773046 | Don L. Conaway, M.d., P.C. | Internal Medicine | 1716 Sir William Osler Dr, Virginia Beach, VA 23454-3003 | 2010-01-20 |
| 1417161043 | Jennifer C Wheaton | Internal Medicine | 1925 Glenn Mitchell Dr Ste 202, Virginia Beach, VA 23456-0177 | 2007-05-10 |
| 1952563181 | Celine Chaya | Internal Medicine | 1168 First Colonial Rd, Suite 300, Virginia Beach, VA 23454-2444 | 2008-06-29 |
| 1699721639 | Don L Conaway | Internal Medicine | 1716 Sir William Osler Dr, Virginia Beach, VA 23454-3003 | 2006-05-25 |
| 1245280114 | Ana Marie Dizon | Internal Medicine | 1168 First Colonial Rd, Suite 200, Virginia Beach, VA 23454-2426 | 2006-05-11 |
| 1003880345 | Howard Courtenay Harrison Sr. | Internal Medicine | 1101 First Colonial Rd, Suite 101, Virginia Beach, VA 23454-2409 | 2006-02-14 |
| 1700850310 | Howard Courtenay Harrison Jr. | Internal Medicine | 1168 First Colonial Rd, Suite 200, Virginia Beach, VA 23454-2426 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194360503 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 5899 Bremo Rd Ste 202, Richmond, VA 23226-1935 | 2019-11-08 |
| 1568954535 | Warren Memorial Hospital, Inc. | Internal Medicine | 120 N. Commerce Ave, Ste 203, 245, 255, Front Royal, VA 22630 | 2018-06-05 |
| 1457891145 | Ultra Health LLC | Internal Medicine | 13401 Gov G C Peery Hwy, Pounding Mill, VA 24637-4010 | 2017-03-01 |
| 1720407851 | Cesar M. Plazas-guzman | Internal Medicine | 713 Volvo Pkwy Ste 100, Chesapeake, VA 23320-1614 | 2014-04-16 |
| 1639426497 | Miriam Hinaa Ahmad | Internal Medicine | 103 W Broad St Ste 120, Falls Church, VA 22046-4231 | 2012-08-11 |
| 1023372620 | Paul Sumner Strumph | Internal Medicine | 2350 Merriman Way Rd, Moneta, VA 24121-3186 | 2012-06-27 |
| 1811256381 | Silpa P.k. Joshi | Internal Medicine | 3201 Jermantown Rd Ste 250, Fairfax, VA 22030-2881 | 2012-05-03 |
| 1518244854 | Bon Secours St. Francis Medical Center Inc | Internal Medicine | 3660 Boulevard Ste G, Colonial Heights, VA 23834-1345 | 2011-11-15 |
| 1235427592 | Neeharika Repaka | Internal Medicine | 1830 Town Center Dr Ste 306, Reston, VA 20190-3217 | 2011-07-20 |
| 1851699227 | Sentara Medical Group | Internal Medicine | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2011-03-08 |
| 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.