SENTARA MEDICAL GROUP (NPI# 1518117829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518117829 |
Entity Type | Organization |
Organization Name | SENTARA MEDICAL GROUP |
Other Organization Name | SENTARA HEARING AND BALANCE CENTER |
Practice Address |
1950 Glenn Mitchell Dr Ste. 310b Virginia Beach VA 23456-0019 |
Mailing Address |
1950 Glenn Mitchell Dr Ste. 308 Virginia Beach VA 23456-0019 |
Practice Telephone | 7575070360 |
Practice Fax Number | 7575070341 |
Mailing Telephone | 7575070360 |
Mailing Fax Number | 7575070341 |
Enumeration Date | 2008-09-23 |
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 |
---|---|---|---|---|---|
Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | MEDICARE GROUP NUMBER | C02033 | 01 |
Other Name | Type Code |
---|---|
Sentara Hearing and Balance Center | 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 STE. 310B |
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 |
1265617864 | Sentara Medical Group | Internal Medicine | 1950 Glenn Mitchell Dr, Suite 310, Virginia Beach, VA 23456-0019 | 2008-01-02 |
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 | 231H00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Audiologist |
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548885874 | Skylar Tate Goodman | Audiologist | 305 Lynnhaven Pkwy Ste 101, Virginia Beach, VA 23452-7411 | 2020-06-12 |
1992327324 | Andrew Taylor Bryant | Audiologist | 305 Lynnhaven Pkwy Ste A, Virginia Beach, VA 23452-7411 | 2020-05-07 |
1215401815 | Claudine Burdette Keffer | Audiologist | 4356 Bonney Rd # 1, Virginia Beach, VA 23452-1200 | 2019-01-16 |
1427559111 | Bren-x Auditory Solutions LLC | Audiologist | 2253 Welsh Dr, Virginia Beach, VA 23456-6930 | 2018-02-27 |
1912436254 | Melissa Mary Teller | Audiologist | 4360 Shore Dr Ste 101, Virginia Beach, VA 23455-2994 | 2017-06-09 |
1336577451 | Connect Hearing, Inc. | Audiologist | 5386 Kempsriver Dr Ste 112, Virginia Beach, VA 23464-5349 | 2013-10-29 |
1437406030 | Howard Neal Gutnick | Audiologist | 2405 Cape Arbor Dr, Virginia Beach, VA 23451-1537 | 2012-08-14 |
1366551129 | Julie A Jarrell | Audiologist | 3900 Donnington Dr, Virginia Beach, VA 23456-5769 | 2006-08-29 |
1114971579 | Lawanda S Chester | Audiologist | 1821 Old Donation Pkwy Ste 10, Virginia Beach, VA 23454-3033 | 2006-05-20 |
1528038924 | Theresa Hutchinson Bartlett | Audiologist | 4540 Princess Anne Rd, Suite 123, Virginia Beach, VA 23462-7962 | 2006-01-26 |
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.