SENTARA MEDICAL GROUP (NPI# 1588955033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588955033 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA GERIATRIC PHYSICIAN SERVICES |
| Practice Address |
535 Independence Pkwy Ste 500 Chesapeake VA 23320-5176 |
| Practice Telephone | 7573956636 |
| Mailing Telephone | 7573956636 |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | MRS. CINDY A TAYLOR (MANAGER) |
| Authorized Official Telephone | 7572523344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Geriatric Physician Services | 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 |
535 INDEPENDENCE PKWY STE 500 |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-5176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992741060 | Sentara Enterprises | Home Health | 535 Independence Pkwy, Suite 200, Chesapeake, VA 23320-5176 | 2006-06-20 |
| 1144676909 | Proprium LLC | Pharmacy | 535 Independence Pkwy, Suite 400, Chesapeake, VA 23320-5176 | 2016-05-11 |
| 1942560552 | Janet Mildrew | Dietitian, Registered | 535 Independence Pkwy, Chesapeake, VA 23320-5176 | 2012-05-17 |
| 1619261492 | Rene C Hale | Social Worker | 535 Independence Pkwy, Suite 500, Chesapeake, VA 23320-5176 | 2011-06-08 |
| 1497914527 | Nancy Ann Harding | Dietitian, Registered | 535 Independence Pkwy, Suite 400, Chesapeake, VA 23320-5176 | 2008-06-04 |
| 1043406788 | Laura Ellen Borowski | Pharmacist | 535 Independence Pkwy, Suite 300, Chesapeake, VA 23320-5176 | 2007-09-17 |
| 1114097532 | Sentara Enterprises | Hospice Care, Community Based | 535 Independence Pkwy, Suite 200, Chesapeake, VA 23320-5176 | 2006-11-09 |
| 1174693592 | Sentara Enterprises | Clinic/Center | 535 Independence Pkwy, Suite 300, Chesapeake, VA 23320-5176 | 2006-11-09 |
| 1952471369 | Sentara Enterprises | Durable Medical Equipment & Medical Supplies | 535 Independence Pkwy, Suite 400, Chesapeake, VA 23320-5176 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694015 | Gibbs Mobile Med, LLC | Family Medicine | 4115 Annandale Rd Ste 203, Annandale, VA 22003-2500 | 2018-06-29 |
| 1215425384 | Primary Gerontology Center LLC | Family Medicine | 4196 Merchant Plz Ste 348, Lake Ridge, VA 22192-5085 | 2018-04-24 |
| 1760994073 | Mk Cognition, Inc | Family Medicine | 807 Cameron St, Alexandria, VA 22314-2409 | 2017-10-26 |
| 1831639111 | Ad Senior Medical LLC | Family Medicine | 5000 Stoneleigh Rd, Henrico, VA 23228-5927 | 2017-03-06 |
| 1992162267 | Virginia Nursing Homes Specialists Pllc | Family Medicine | 41544 Hoddesdon Ct, Aldie, VA 20105-3097 | 2016-01-18 |
| 1881060028 | Dante Jocson | Family Medicine | 9120 Park Ave, Manassas, VA 20110-4351 | 2015-08-11 |
| 1639563414 | Promedical Services, Inc. | Family Medicine | 30 Monica Blvd, Lynchburg, VA 24502-2269 | 2015-03-19 |
| 1205258829 | Roanoke Adult Medicine LLC | Family Medicine | 1708 Clay St Se, Roanoke, VA 24013-2105 | 2014-01-16 |
| 1336470988 | Ruth Arnetta Jones | Family Medicine | 7515 Chamberlayne Ave., Henrico, VA 23227 | 2010-01-21 |
| 1235313933 | Michael C. Trahos, D.o. | Family Medicine | 6613 Goldsboro Rd, Falls Church, VA 22042-4108 | 2007-12-18 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
Please comment or provide details below to improve the information on SENTARA MEDICAL GROUP.
| 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.