SENTARA PRINCESS ANNE HOSPITAL (NPI# 1528028396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528028396 |
| Entity Type | Organization |
| Organization Name | SENTARA PRINCESS ANNE HOSPITAL |
| Other Organization Name | SENTARA HOSPITALS |
| Practice Address |
2025 Glenn Mitchell Dr Virginia Beach VA 23456-0178 |
| Mailing Address |
6015 Poplar Hall Dr Suite 200 Norfolk VA 23502-3819 |
| Practice Telephone | 7575071000 |
| Mailing Telephone | 7574557102 |
| Mailing Fax Number | 7574557919 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | MR. ROBERT A. BROERMANN (SVP/CFO) |
| Authorized Official Telephone | 7574557020 |
| Is Organization Subpart | Y |
| Parent Organization Name | SENTARA HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | H 1893 | VA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 49-0119-3 | 05 | |
| VA | TRICARE | 541547408 | 01 |
| VA | MAMSI | 232300 | 01 |
| VA | OTHERS | 541547408 | 01 |
| VA | AETNA | 6560685 | 01 |
| VA | TRIGON | 010576 | 01 |
| VA | SHM ENTITY | BS | 01 |
| VA | HEALTHKEEPERS | 010576 | 01 |
| VA | CHARTERED MEDICAID | 49-0119-3 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Hospitals | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285080622 | Sentara Princess Anne Hospital | Clinic/Center | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2016-05-04 |
| 1528167483 | Sentara Princess Anne Hospital | Pharmacy | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2006-09-21 |
| Street Address |
2025 GLENN MITCHELL DR |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23456-0178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730179532 | Linwood Ray Spruiell | Anesthesiology | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2005-10-24 |
| 1215551361 | Cortney Brook Jones | Anesthesiology | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-06-04 |
| 1912520164 | Kelly S Cook | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-05-22 |
| 1962021576 | Michael Leary | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-04-14 |
| 1649808403 | Ashlee Simmons | Radiologic Technologist | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-03-29 |
| 1063046548 | Tyler Adam Metzger | Physician Assistant | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-02-24 |
| 1962047084 | Ma Zaidelaine Arellano Llena | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2019-11-12 |
| 1053877274 | Melody Crystal Hanson | Occupational Therapist | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2019-02-12 |
| 1821568957 | Katrina Monique Brown | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2018-12-02 |
| 1740765395 | Daezel Aler Lacanlale | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2018-09-30 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003265075 | Chesapeake Hospital Authority | General Acute Care Hospital | 229 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2016-06-09 |
| 1316343478 | Riverside Hospital, Inc | General Acute Care Hospital | 1200 First Colonial Rd, Suite 204a, Virginia Beach, VA 23454-2207 | 2014-11-17 |
| 1851488167 | Emergency Physician of Tidewater | General Acute Care Hospital | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 | 2006-10-06 |
| 1629038336 | Sentara Hospitals | General Acute Care Hospital | 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538669445 | Virginia Hospital Center Arlington Health System | General Acute Care Hospital | 8100 Boone Blvd Ste 140, Vienna, VA 22182-2665 | 2018-02-16 |
| 1871020651 | Virginia Internal Medicine Specialists LLC | General Acute Care Hospital | 44790 Maynard Sq Ste 320, Ashburn, VA 20147-6514 | 2017-05-11 |
| 1730615816 | Sentara Healthcare | General Acute Care Hospital | 100 Ireland St, Hampton, VA 23663-2150 | 2017-05-10 |
| 1528592573 | New York Presbyterian Hospital-weill Cornell | General Acute Care Hospital | 9644 Sutton Green Ct, Vienna, VA 22181-6105 | 2017-04-17 |
| 1386181733 | Lyle Purnell | General Acute Care Hospital | 100 Emancipation Dr Bldg 146, Hampton, VA 23667-0001 | 2017-01-24 |
| 1700233855 | Debra Hafer | General Acute Care Hospital | 33290 Chincoteague Rd, Wallops Island, VA 23337-2204 | 2016-05-18 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1700248796 | Hq Surgical | General Acute Care Hospital | 905 Hathaway Ct, Chesapeake, VA 23322-7622 | 2016-03-28 |
| 1710355649 | Johnston Memorial Hospital, Inc | General Acute Care Hospital | 3175 Linden Dr Ste 3-5, Bristol, VA 24202-5849 | 2015-09-09 |
| 1184092298 | Anita Sites | General Acute Care Hospital | Uva Transplant Center 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22908-3363 | 2015-09-04 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23456 |
Please comment or provide details below to improve the information on SENTARA PRINCESS ANNE HOSPITAL.
| 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.