SENTARA MEDICAL GROUP (NPI# 1760717763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760717763 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA FAMILY & INTERNAL MEDICINE PHYSICIANS |
| Practice Address |
1507 N Road St Ste 200 Elizabeth City NC 27909-3282 |
| Practice Telephone | 2523379190 |
| Practice Fax Number | 2523386503 |
| Mailing Telephone | 2523379190 |
| Mailing Fax Number | 2523386503 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2015-07-31 |
| Authorized Official Name | MRS. CINDY A TAYLOR (MANAGER) |
| Authorized Official Telephone | 7572522765 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE GROUP NUMBER | 232011 | 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 |
1507 N ROAD ST STE 200 |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-3282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578562955 | Tejwant Singh Chandi | Internal Medicine | 1507 N Road St, Ste 3, Elizabeth City, NC 27909-3243 | 2005-07-19 |
| 1841477957 | Steve M Garman Md, PC | Internal Medicine | 1507 N Road St, Suite 2, Elizabeth City, NC 27909-3282 | 2008-01-31 |
| 1942487749 | Ginika E Williams | Physician Assistant | 1507 N Road St, Ste 2, Elizabeth City, NC 27909-3282 | 2008-01-24 |
| 1407882715 | George Anthony Mara | Physician Assistant | 1507 N Road St, Suite 2, Elizabeth City, NC 27909-3282 | 2006-06-26 |
| 1114985686 | Jasvinder Pal Singh | Internal Medicine | 1507 N Road St, Suite 1, Elizabeth City, NC 27909-3243 | 2006-05-03 |
| 1598757916 | Albemarle Medical Associates Pllc | Internal Medicine | 1507 N Road St, Ste 3, Elizabeth City, NC 27909 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| 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 |
|---|---|---|---|---|
| 1487936514 | Gateway Community Health Centers, Inc. | Family Medicine | 201 E Ehringhaus St, Elizabeth City, NC 27909-4941 | 2011-09-14 |
| 1396989109 | Nina Dewi Lucas | Family Medicine | 905 Halstead Blvd Ste 29, Elizabeth City, NC 27909-6816 | 2009-04-23 |
| 1487757035 | Brandon Moseley Peters | Family Medicine | 206 S Road St, Elizabeth City, NC 27909-4755 | 2006-09-07 |
| 1134154511 | Carroll Bracey Robertson IIi | Family Medicine | 902b Roanoke Ave, Elizabeth City, NC 27909-5565 | 2006-07-12 |
| 1245267558 | Steve Michael Garman | Family Medicine | 111 Medical Dr Ste B, Elizabeth City, NC 27909-3465 | 2006-06-26 |
| 1811978158 | Sidney Michael Sutton Sr. | Family Medicine | 1141 N Road St Ste G, Elizabeth City, NC 27909-3354 | 2005-11-11 |
| 1326039454 | John Daniel Elliott | Family Medicine | 1134 N. Road St., Building #7, Elizabeth City, NC 27909 | 2005-10-28 |
| 1962497230 | Daniel S Terryberry | Family Medicine | 1141 N Road St, Suite G, Elizabeth City, NC 27909-3354 | 2005-09-13 |
| 1881146470 | Tyler Pittman | Family Medicine | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2016-10-29 |
| 1346661493 | Sound Physicians of North Carolina, Pllc | Family Medicine | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2013-12-16 |
| Find all providers in ELIZABETH CITY | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
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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.