SENTARA MEDICAL GROUP (NPI# 1669590154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669590154 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA PHYSICAL MEDICINE & PAIN MANAGEMENT SPECIALISTS |
| Practice Address |
4000 Coliseum Dr Suite 345 Hampton VA 23666-5906 |
| Practice Telephone | 7578272120 |
| Practice Fax Number | 7578272121 |
| Mailing Telephone | 7578272120 |
| Mailing Fax Number | 7578272121 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-12-02 |
| 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 |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Physical Medicine & Pain Management Specialists | 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 |
4000 COLISEUM DR SUITE 345 |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-5906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205834157 | Arthur David Greene | Orthopaedic Surgery | 4000 Coliseum Dr, Suite 100, Hampton, VA 23666-5906 | 2005-07-13 |
| 1720619604 | Maria C Holmes | Registered Nurse | 4000 Coliseum Dr, Hampton, VA 23666-5906 | 2020-01-30 |
| 1598129108 | Rebekah Testa | Physician Assistant | 4000 Coliseum Dr, Hampton, VA 23666-5906 | 2016-04-09 |
| 1770961237 | Sentara Medical Group | Internal Medicine | 4000 Coliseum Dr, Ste 310, Hampton, VA 23666-5906 | 2015-05-15 |
| 1881935955 | Deborah Minnis | Audiologist | 4000 Coliseum Dr, Suite 120, Hampton, VA 23666-5906 | 2013-03-14 |
| 1750639605 | Beatrice Veronica Mclaughlin | Nurse Practitioner | 4000 Coliseum Dr, Suite 445, Hampton, VA 23666-5906 | 2012-08-27 |
| 1811257132 | Sentara Medical Group | Internal Medicine | 4000 Coliseum Dr, Ste 100, Hampton, VA 23666-5906 | 2012-05-21 |
| 1942568795 | Tara Nicolette | Internal Medicine | 4000 Coliseum Dr, Suite 345, Hampton, VA 23666-5906 | 2012-04-30 |
| 1013294834 | Urology of Virginia, Pllc | Urology | 4000 Coliseum Dr, Suite 300, Hampton, VA 23666-5906 | 2011-11-08 |
| 1720398761 | Peninsula Cosmetic & Reconstructive Surgery Inc | Plastic Surgery | 4000 Coliseum Dr, Suite 110, Hampton, VA 23666-5906 | 2010-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255697934 | Alexandra Grace Davis | Physical Medicine & Rehabilitation | 100 Emancipation Dr Hampton Va Medical Center, Hampton, VA 23667-0001 | 2012-04-06 |
| 1861665697 | John Damon Allen | Physical Medicine & Rehabilitation | 4000 Coliseum Dr Ste 340, Hampton, VA 23666-5904 | 2008-04-13 |
| 1073518916 | Therese P Montoya | Physical Medicine & Rehabilitation | 100 Emancipation Dr, Hampton, VA 23667 | 2005-06-16 |
| 1508203175 | Yuri Shtridelman | Physical Medicine & Rehabilitation | 100 Emancipation Dr, Hampton, VA 23667-2007 | 2013-05-22 |
| 1073800496 | Riverside Physician Services Inc | Physical Medicine & Rehabilitation | 850 Enterprise Pkwy, Suite 1300, Hampton, VA 23666-6251 | 2011-07-06 |
| 1255584876 | Mohamed Vazquez | Physical Medicine & Rehabilitation | Department of Veterans Affairs Medical Ctr, 100 Emancipation Drive, Hampton, VA 23667-0001 | 2008-10-28 |
| 1922138619 | Therese P Drew Md Plc | Physical Medicine & Rehabilitation | 100 Emancipation Dr, Hampton, VA 23667-7302 | 2007-03-06 |
| 1265495295 | Jamal Ghazinour | Physical Medicine & Rehabilitation | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2006-04-10 |
| 1386607364 | Mikiso Mizuki Jr. | Physical Medicine & Rehabilitation | 100 Emancipation Dr, Vamc Hampton, Hampton, VA 23667-0001 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152023 | Leap Physical Therapy, Pllc | Physical Medicine & Rehabilitation | 1708 Dakota Ave, Richmond, VA 23220-6911 | 2020-10-23 |
| 1962018200 | Greenbrier Valley Physical Therapy, LLC | Physical Medicine & Rehabilitation | 9292 Sam Snead Hwy Unit 3, Hot Springs, VA 24445-2928 | 2020-09-22 |
| 1760095657 | Rise Up Physical Therapy PC | Physical Medicine & Rehabilitation | 313 Cutter Cv, Stafford, VA 22554-2621 | 2020-08-28 |
| 1659995173 | Hysa Cognitive and Neurorehabilitation Pllc | Physical Medicine & Rehabilitation | 2465 Centreville Rd # J17-734, Herndon, VA 20171-4586 | 2020-06-01 |
| 1639716855 | Murray E Joiner Jr Md PC | Physical Medicine & Rehabilitation | 137 Court St Se, Abingdon, VA 24210-3305 | 2019-12-06 |
| 1932746153 | Murray E Joiner Jr Md PC | Physical Medicine & Rehabilitation | 1945 Thomson Dr, Lynchburg, VA 24501-1025 | 2019-12-06 |
| 1205473428 | Murray E Joiner Jr Md PC | Physical Medicine & Rehabilitation | 590 W Ridge Rd Ste K, Wytheville, VA 24382-1067 | 2019-12-06 |
| 1386281509 | Murray E Joiner Jr Md PC | Physical Medicine & Rehabilitation | 739 Thimble Shoals Blvd Ste 108, Newport News, VA 23606-3562 | 2019-12-06 |
| 1447892997 | Greenbrier Valley Physical Therapy LLC | Physical Medicine & Rehabilitation | 29 Cedar Plateau Way, Daleville, VA 24083-1119 | 2019-10-16 |
| 1881244374 | Jessica G Black | Physical Medicine & Rehabilitation | 10300 Courthouse Rd, Chesterfield, VA 23832 | 2019-09-17 |
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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.