SENTARA MEDICAL GROUP (NPI# 1659655744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659655744 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA SPECIALTY SERVICES |
| Practice Address |
5659 Parkway Dr Ste 200 Gloucester VA 23061-3792 |
| Practice Telephone | 7572595120 |
| Practice Fax Number | 7575109063 |
| Mailing Telephone | 7572595120 |
| Mailing Fax Number | 7575109063 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |
| 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 | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Specialty 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 |
5659 PARKWAY DR STE 200 |
| City | GLOUCESTER |
| State | VA |
| Zip Code | 23061-3792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457326811 | Wendell T Poulsen Jr. | Family Medicine | 5659 Parkway Dr, Ste 100, Gloucester, VA 23061-3792 | 2006-02-21 |
| 1033625710 | Velocity Urgent Care, LLC | Clinic/Center | 5659 Parkway Dr, Gloucester, VA 23061-3792 | 2017-12-18 |
| 1710377742 | Sentara Medical Group | Internal Medicine | 5659 Parkway Dr, Ste 220, Gloucester, VA 23061-3792 | 2015-01-29 |
| 1235536426 | Sentara Medical Group | Internal Medicine | 5659 Parkway Dr, Ste 200, Gloucester, VA 23061-3792 | 2014-12-03 |
| 1750680633 | Sentara Medical Group | Clinic/Center | 5659 Parkway Dr, Suite 100, Gloucester, VA 23061-3792 | 2011-03-18 |
| 1205168143 | Sentara Medical Grou P | Surgery | 5659 Parkway Dr, Suite 210a, Gloucester, VA 23061-3792 | 2010-02-03 |
| 1457683393 | Sentara Medical Group | Surgery | 5659 Parkway Dr, Suite 210b, Gloucester, VA 23061-3792 | 2010-02-03 |
| 1295969962 | Sentara Medical Group | Pediatrics | 5659 Parkway Dr, Suite 230, Gloucester, VA 23061-3782 | 2009-05-11 |
| 1851538201 | Sentara Medical Group | Pediatrics | 5659 Parkway Dr, Ste 230, Gloucester, VA 23061-3782 | 2009-01-07 |
| 1205086071 | Daniel E Pouchot, Dds, Pllc | Dentist | 5659 Parkway Dr, Suite 140, Gloucester, VA 23061-3782 | 2008-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770087546 | Connex Family Services | Behavioral Analyst | 6948 Main Street Ste. 12, Gloucester, VA 23061 | 2018-03-19 |
| 1699278820 | Blake Steagall | Counselor | 7296 York Avenue, Gloucester, VA 23061 | 2018-03-14 |
| 1982103941 | Cathyrn Fields Radford | Speech-Language Pathologist | Page Middle School, 5198 T. C. Walker Road, Gloucester, VA 23061 | 2018-02-06 |
| 1326558727 | Home Care Associates LLC | Technician | 6812 Teagle Lane, Unit 1, Gloucester, VA 23061 | 2017-10-11 |
| 1154847176 | Thorpe Counseling Center | Social Worker | 6486 Main Street, Suite 10, Gloucester, VA 23061 | 2017-08-22 |
| 1215473715 | Christina Vickers | Prevention Professional | 7824 Windy Hill Road, Gloucester, VA 23061 | 2017-01-09 |
| 1487084372 | Debra Leigh Ottarson | Pharmacist | 6634 Jarvis Road, Gloucester, VA 23061 | 2013-11-14 |
| 1114170446 | Riverside Physician Services Inc | Psychiatry & Neurology | 7547 Medial Drive, Suite 1300, Gloucester, VA 23061 | 2008-10-30 |
| 1881846087 | Nine Palms 1, LLC | Home Health | 6606 Main St, Gloucester, VA 23061 | 2008-10-21 |
| 1396909867 | Sandra B Buchheister | Physical Therapist | 6965 Fox Hunt Lane, Suite 201, Gloucester, VA 23061 | 2008-07-15 |
| Find all providers in zip 23061 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457745143 | Dwayne North | Surgery | 7554 Hospital Dr Ste D303, Gloucester, VA 23061-4178 | 2015-03-20 |
| 1508044132 | Sentara Medical Group | Surgery | 5659 Parkway Dr Ste 220, Gloucester, VA 23061-3792 | 2008-02-06 |
| 1558359836 | Melvin Wayne Ressler | Surgery | 7554 Hospital Dr, Suite 303, Gloucester, VA 23061-4178 | 2005-10-11 |
| 1902404296 | Sentara Medical Group | Surgery | 5659 Parkway Dr Ste 220, Gloucester, VA 23061-3792 | 2020-10-09 |
| 1871746107 | Riverside Physician Services Inc | Surgery | 7554 Hospital Dr, Suite 303, Gloucester, VA 23061-4178 | 2008-10-30 |
| 1578745550 | Melvin W Ressler, Md Surgeon PC T/a Gloucester Surgery | Surgery | 7554 Hospital Dr, Ste 303, Gloucester, VA 23061-4178 | 2007-11-30 |
| 1033325709 | Melvin Dennis Schursky Jr. | Surgery | 7554 Hospital Dr, Ste 303, Gloucester, VA 23061-4178 | 2007-05-16 |
| 1427161660 | Northeast Medical Practice | Surgery | 298 Washington St, 4th Floor, Gloucester, MA 01930-4832 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819911 | Charles W Hurt | Surgery | 195 Riverbend Dr Ste 1, Charlottesville, VA 22911-8708 | 2020-04-08 |
| 1720616261 | Katherine Maria Barrows | Surgery | 3300 Gallows Rd, Dept of Surgery, Falls Church, VA 22042-3307 | 2020-03-30 |
| 1891202412 | Valley Physician Enterprise, Inc. | Surgery | 1870 Amherst St Ste 2a, Winchester, VA 22601-2841 | 2018-01-04 |
| 1508388554 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Surgery | 5875 Bremo Rd Ste 110, Richmond, VA 23226-1934 | 2017-07-12 |
| 1457729048 | Donnarose Klemovitch | Surgery | 11226 Goldflower Ct, Fairfax Station, VA 22039-2026 | 2015-09-13 |
| 1114303922 | Loudoun Medical Group PC | Surgery | 19415 Deerfield Ave Ste 213, Lansdowne, VA 20176-8471 | 2015-08-04 |
| 1255728374 | Malinda Lyon | Surgery | 8150 Shore Drive, #522, Norfolk, VA 23518 | 2015-04-16 |
| 1760877377 | Caleb Luke Cutherell | Surgery | 2900 Lamb Cir Ste 302, Christiansburg, VA 24073-6341 | 2015-03-31 |
| 1720479504 | Affinity Healthcare Group LLC | Surgery | 3356 Western Branch Blvd, #f, Chesapeake, VA 23321-5138 | 2015-02-14 |
| 1275938136 | Surgical Consultants of Northern Virginia Pllc | Surgery | 1655 Hunting Crest Way, Vienna, VA 22182-1563 | 2014-11-04 |
| Find all providers with the same taxonomy | ||||
| City | GLOUCESTER |
| Zip Code | 23061 |
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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.