SENTARA MEDICAL GROUP (NPI# 1609331867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609331867 |
Entity Type | Organization |
Organization Name | SENTARA MEDICAL GROUP |
Practice Address |
5700 Williamsburg Landing Dr Williamsburg VA 23185-3779 |
Practice Telephone | 7575656525 |
Practice Fax Number | 7575656551 |
Mailing Telephone | 7575656525 |
Mailing Fax Number | 7575656551 |
Enumeration Date | 2019-02-01 |
Last Update Date | 2019-02-01 |
Authorized Official Name | CINDY TAYLOR (PROJECT MANAGER) |
Authorized Official Telephone | 7572522765 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
SENTARA INTERNAL MEDICINE PHYSICIANS | 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 |
5700 WILLIAMSBURG LANDING DR |
City | WILLIAMSBURG |
State | VA |
Zip Code | 23185-3779 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992704738 | Webb D. Jones | Family Medicine | 5700 Williamsburg Landing Dr, Williamsburg, VA 23185-3779 | 2005-07-14 |
1750903332 | Carrie Elizabeth Allison | Occupational Therapist | 5700 Williamsburg Landing Dr, Williamsburg, VA 23185-3779 | 2020-05-18 |
1427692284 | Connor Mahan | Occupational Therapist | 5700 Williamsburg Landing Dr, Williamsburg, VA 23185-3779 | 2019-11-04 |
1215599717 | Brandy Washburn | Nurse Practitioner | 5700 Williamsburg Landing Dr, Williamsburg, VA 23185-3779 | 2019-07-03 |
1487181251 | Jacquelyn Elizabeth Fox | Occupational Therapist | 5700 Williamsburg Landing Dr, Williamsburg, VA 23185-5215 | 2017-05-11 |
1760860852 | Williamsburg Landing Home Health, LLC | Hospice Care, Community Based | 5700 Williamsburg Landing Dr, Williamsburg, VA 23185-3779 | 2015-05-11 |
1184040693 | Williamsburg Landing Inc | Skilled Nursing Facility | 5700 Williamsburg Landing Dr, Williamsburg, VA 23185-3779 | 2014-03-07 |
1801153531 | Karla Marie Pray | Nurse Practitioner | 5700 Williamsburg Landing Dr, Williamsburg, VA 23185-3779 | 2012-04-19 |
1114227394 | Riverside Physician Services Inc | Family Medicine | 5700 Williamsburg Landing Dr, Williamsburg, VA 23185-3779 | 2010-10-22 |
1376730762 | Darya L Richardson | Physical Therapist | 5700 Williamsburg Landing Dr, Williamsburg, VA 23185-3779 | 2007-09-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215579412 | Marian Shearin | Technician | 112 Indian Circle, Williamsburg, VA 23185 | 2019-10-09 |
1093363251 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 161-a John Jefferson Road Ste 101, Williamsburg, VA 23185 | 2019-08-30 |
1265939482 | Michelle Antionette Hill | Counselor | 1769 Jamestown Rd Ste 107, Williamsburg, VA 23185 | 2018-04-13 |
1114437480 | Kimberly Anne Allan | Orthotic Fitter | 1811 Jamestown Rd., Williamsburg, VA 23185 | 2017-10-02 |
1881115590 | Shawn Patrick Mcnulty | Counselor | Colonial Behavioral Health, 1657 Merrimac Trail, Williamsburg, VA 23185 | 2017-07-03 |
1790215986 | Sea Change Therapy Pllc | Community/Behavioral Health | 3308 Ash Vw, Williamsburg, VA 23185 | 2017-06-19 |
1316479322 | Maureen Bounds | Pharmacist | 230 Gooch Dr, Williamsburg, VA 23185 | 2017-03-29 |
1386196970 | Joshua Desilva | Psychologist | 240 Gooch Drive, 2nd Floor, Williamsburg, VA 23185 | 2016-10-29 |
1750837001 | Ellen Lerose | Pharmacist | 5601-b Richmond Road, Williamsburg, VA 23185 | 2016-08-28 |
1194173922 | Michael C. Shuck, Dds PC | Dentist | 1480 Quarterpath Rd, Ste 2a, Williamsburg, VA 23185 | 2016-06-02 |
Find all providers in zip 23185 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
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 |
---|---|---|---|---|
1396067872 | Lee Wyeth Hawkins | Internal Medicine | 5576 Millbrook Dr, Williamsburg, MI 49690-9214 | 2010-02-24 |
1033360888 | Vicki Stone Wilhelm | Internal Medicine | 137 Kingspoint Dr, Williamsburg, VA 23185-4453 | 2008-10-09 |
1790995322 | Melissa Aries Atiyeh | Internal Medicine | 159 Western Gailes, Williamsburg, VA 23188-8929 | 2007-05-23 |
1609906205 | Richard E Kremer | Internal Medicine | 26 Hampton Ky, Williamsburg, VA 23185-5538 | 2007-03-06 |
1912091083 | Amanda A. Beck | Internal Medicine | 7113 Deepwater Point Rd, Williamsburg, MI 49690-9249 | 2006-10-03 |
1932148467 | Christopher R Flory | Internal Medicine | 82 Petticoat Hill Rd, Williamsburg, MA 01096-9430 | 2006-06-06 |
1275590879 | George M Kokolski Jr. | Internal Medicine | 1879 River Oaks Rd, Williamsburg, VA 23185-7640 | 2006-04-27 |
1275594236 | Kevin R Bedell | Internal Medicine | 4622 Rochambeau Dr, Williamsburg, VA 23188-7114 | 2006-03-30 |
1730148149 | Peter W. Siersma | Internal Medicine | 14 Williams St, Williamsburg, MA 01096-9427 | 2006-03-23 |
1588632574 | Johanna D Larrazabal | Internal Medicine | 5231 John Tyler Hwy, Williamsburg, VA 23185-2553 | 2006-03-08 |
Find all providers in WILLIAMSBURG |
City | WILLIAMSBURG |
Zip Code | 23185 |
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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.