SENTARA MEDICAL GROUP (NPI# 1730571985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730571985 |
Entity Type | Organization |
Organization Name | SENTARA MEDICAL GROUP |
Other Organization Name | SENTARA FAMILY & INTERNAL MEDICINE PHYSICIANS |
Practice Address |
100 Enterprise Dr Yorktown VA 23692 |
Practice Telephone | 7577363725 |
Practice Fax Number | 7572234864 |
Mailing Telephone | 7577363725 |
Mailing Fax Number | 7572234864 |
Enumeration Date | 2015-02-25 |
Last Update Date | 2015-02-25 |
Authorized Official Name | CINDY A TAYLOR (MANAGER) |
Authorized Official Telephone | 7572523344 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | VA | Allopathic & Osteopathic Physicians | |
N | 332B00000X | Durable Medical Equipment & Medical Supplies | VA | Suppliers | |
Y | 207Q00000X | Family Medicine | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | MEDICARE GROUP NUMBER | C02033 | 01 |
Other Name | Type Code |
---|---|
Sentara Family & 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 |
100 ENTERPRISE DR |
City | YORKTOWN |
State | VA |
Zip Code | 23692 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114400884 | Mary Amanda Gray | Dietitian, Registered | 5306 Old Virginia Street, Urbanna, VA 23692 | 2018-09-10 |
1932687142 | Janice Stewart | Counselor | 3804 George Washington Mem Hwy, Yorktown, VA 23692 | 2018-07-31 |
1679063523 | Heritage Pharmacy LLC | Pharmacy | 5922b George Washington Mem Hwy, Yorktown, VA 23692 | 2018-05-16 |
1437655461 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 6500 George Washington Mem Hwy Ste C, Grafton, VA 23692 | 2018-03-30 |
1427392315 | Anna Katherina Ristow | Specialist/Technologist | 9300 George Washington Ave, Yorktown, VA 23692 | 2012-11-16 |
1225340714 | Jamie Banuski | Voluntary or Charitable | 7307 George Washington Mem Hwy, Pmb511, Yorktown, VA 23692 | 2010-07-13 |
1174719793 | Grafton Smile Care | Clinic/Center | 4030 - A George Washington Hwy, Grafton, VA 23692 | 2007-09-18 |
1497949713 | Sayward E. Duggan Dds Ms PC | Clinic/Center | 4310 George Washington Memorial Highway, Yorktown, VA 23692 | 2007-08-29 |
1679691307 | Carol A. Pittman | Dentist | 4310 George Washington Hwy, Yorktown, VA 23692 | 2007-03-27 |
1710043666 | Robert Moore Alexander | Dentist | 105 Terrebonne Road, Grafton, VA 23692 | 2006-12-28 |
Find all providers in zip 23692 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275887366 | Ruth Esther Smith | Family Medicine | 160 Main Rd, Yorktown, VA 23691-5111 | 2012-10-29 |
1619178274 | Wayne A Stoutenger | Family Medicine | 105 Jennie Dr, Yorktown, VA 23692-4001 | 2007-05-30 |
1700835568 | Timothy Lee Raines | Family Medicine | 3212b Hampton Hwy, Yorktown, VA 23693-4904 | 2006-05-09 |
1326013327 | Mark A Litz | Family Medicine | 1420 S. Pilgrim Blvd., Yorktown, IN 47396-9250 | 2006-02-22 |
1376514042 | Warren Paul Weixler | Family Medicine | 2855 Denbigh Blvd, Suite A, Yorktown, VA 23692-6501 | 2006-01-30 |
1407835812 | Pedro Otilio Nazario | Family Medicine | 1 U S Coast Guard Trn Ctr, Yorktown, VA 23690-5001 | 2006-01-13 |
1861490682 | Jesus L. Lizarzaburu | Family Medicine | 222 Grafton Dr, Yorktown, VA 23692-2152 | 2005-07-14 |
1669478418 | Hawes Campbell IIi | Family Medicine | 307 Cook Rd, Yorktown, VA 23690-9640 | 2005-06-27 |
1801438254 | Dena Michelle Mintz | Family Medicine | 6420 B George Washington Memorial Highway, Yorktown, VA 23269 | 2019-10-16 |
1326603952 | Riverside Physicain Services Inc | Family Medicine | 1620 Old Williamsburg Rd, Yorktown, VA 23690-3910 | 2019-05-09 |
Find all providers in YORKTOWN |
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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.