SENTARA MEDICAL GROUP


Address: 5700 Williamsburg Landing Dr, Williamsburg, VA 23185-3779
Phone: 7575656525

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
SENTARA INTERNAL MEDICINE PHYSICIANS Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 5700 WILLIAMSBURG LANDING DR
City WILLIAMSBURG
State VA
Zip Code 23185-3779

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City WILLIAMSBURG
Zip Code 23185

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Dataset Information

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.

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