SENTARA MEDICAL GROUP (NPI# 1548629322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548629322 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Practice Address |
3920 A Bridge Rd Ste 305 Suffolk VA 23435-1126 |
| Mailing Address |
3920 Bridge Rd Ste 305 Suffolk VA 23435-1107 |
| Practice Telephone | 7579830080 |
| Practice Fax Number | 7579830019 |
| Mailing Telephone | 7579830080 |
| Mailing Fax Number | 7579830019 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | CINDY A TAYLOR (MANAGER) |
| Authorized Official Telephone | 7572522765 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3920 A Bridge Rd, Ste 305, Suffolk, VA 234351126 | 7579830080 | 7579830019 |
| 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 |
3920 A BRIDGE RD STE 305 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487603205 | James Mitchell Waddy Jr. | Family Medicine | 3920 A Bridge Rd, Suffolk, VA 23435 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073010369 | Sentara Medical Group | Preventive Medicine | 2760 Godwin Blvd Ste 101, Suffolk, VA 23434-8501 | 2018-04-12 |
| 1720447501 | Sentara Medical Group | Preventive Medicine | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2016-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881194082 | Careteam Health Onsite Clinic / Citizens and Farmers Bank | Preventive Medicine | 3600 La Grange Pkwy, Toano, VA 23168-9347 | 2018-02-15 |
| 1326548520 | Careteam Health Onsite Clinic / Citizens and Farmers Bank | Preventive Medicine | 901 E Cary St Ste 1100, Richmond, VA 23219-4037 | 2018-02-15 |
| 1679844997 | Walter Smith Chandler | Preventive Medicine | 628 Hofstadter Rd, Ste. 3, Newport News, VA 23606-3060 | 2012-01-18 |
| 1740561620 | Lawrence Stilwell Betts | Preventive Medicine | 13 Dryden Dr, Poquoson, VA 23662-1453 | 2011-09-06 |
| 1619107919 | Patrick Roark Laraby | Preventive Medicine | 5205 Leesburg Pike Ste 810, Falls Church, VA 22041-3888 | 2009-07-21 |
| 1417114224 | Hassan Zakaria | Preventive Medicine | 1428 Ashland Cir, Norfolk, VA 23509-1204 | 2008-05-20 |
| 1780801118 | Charles Thomas Chapin | Preventive Medicine | 704 26th St S, Arlington, VA 22202-2402 | 2007-04-19 |
| 1881716165 | John Robert Pauswinski | Preventive Medicine | 7517 Todd Pl, Manassas, VA 20109-2929 | 2007-04-06 |
| 1821132390 | Donald Lee Borcherding | Preventive Medicine | 1548 Forest Villa Ln, Mclean, VA 22101-4130 | 2007-02-17 |
| 1164486106 | Daria Kiselica | Preventive Medicine | 2500 Investigation Pkwy, Quantico, VA 22134-5173 | 2006-04-14 |
| Find all providers with the same taxonomy | ||||
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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.