SENTARA MEDICAL GROUP (NPI# 1770961237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770961237 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA INFECTIOUS DISEASE SPECIALISTS |
| Practice Address |
4000 Coliseum Dr Ste 310 Hampton VA 23666-5906 |
| Practice Telephone | 7578272300 |
| Practice Fax Number | 7578272121 |
| Mailing Telephone | 7578272300 |
| Mailing Fax Number | 7578272121 |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2019-11-20 |
| Authorized Official Name | CINDY A TAYLOR (MANAGER) |
| Authorized Official Telephone | 7572522765 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Infectious Disease 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 STE 310 |
| 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 |
| 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 |
| 1063724276 | Bridget K. Block | Audiologist | 4000 Coliseum Dr, Suite 120, Hampton, VA 23666-5906 | 2010-07-06 |
| 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952812364 | Virginia Id Doctors LLC | Internal Medicine | 4437 Brookfield Corporate Dr Ste 101, Chantilly, VA 20151-2122 | 2017-10-12 |
| 1841749272 | Lawrence Daniel Mullany | Internal Medicine | 12272 Declaration Ave, Chester, VA 23836-3057 | 2016-09-27 |
| 1790172724 | Sana Attar | Internal Medicine | 8220 Meadowbridge Rd Ste 203, Mechanicsville, VA 23116-2339 | 2015-04-16 |
| 1811395205 | W. Robert Lange | Internal Medicine | 835 Gangplank Rd Unit 110, Moneta, VA 24121-2499 | 2014-12-17 |
| 1063835304 | Juan Weiss | Internal Medicine | 9335 Amaryllis Ave., Manassas, VA 20110 | 2014-01-22 |
| 1104165034 | Derek Thomas Larson | Internal Medicine | 133 Green Meadow Dr, Portsmouth, VA 23701-1522 | 2013-02-13 |
| 1023361086 | Valerie Riddle | Internal Medicine | 185 Tara Woods Dr, Bumpass, VA 23024-4934 | 2012-10-16 |
| 1053676858 | Mir Akbar Ali | Internal Medicine | 4720 Puddledock Rd Ste 120, Prince George, VA 23875-1275 | 2012-07-08 |
| 1841560273 | Donald Gray Heppner Jr. | Internal Medicine | 1041 Half Mile Branch Rd, Crozet, VA 22932-3306 | 2012-01-02 |
| 1790075901 | Jillian Eileen Raybould | Internal Medicine | 1000 E Marshall St, Vmi Building, Suite 2015, Richmond, VA 23298-1901 | 2011-04-10 |
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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.