SENTARA MEDICAL GROUP (NPI# 1801156120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801156120 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA CARDIOLOGY SPECIALISTS |
| Practice Address |
20209 Sentara Way Ste 104 Carrollton VA 23314-3573 |
| Practice Telephone | 7573575307 |
| Mailing Telephone | 7573575307 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |
| 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 | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Cardiology 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 |
20209 SENTARA WAY STE 104 |
| City | CARROLLTON |
| State | VA |
| Zip Code | 23314-3573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225012214 | Bartholomew Michael Lopresti | Family Medicine | 20209 Sentara Way, Ste 200, Carrollton, VA 23314-3573 | 2005-12-02 |
| 1376020347 | Rachael Margaret Frye | Registered Nurse | 20209 Sentara Way, Carrollton, VA 23314-3573 | 2018-07-23 |
| 1235645912 | Velocity Urgent Care, LLC | Clinic/Center | 20209 Sentara Way, Carrollton, VA 23314-3573 | 2017-12-18 |
| 1821514829 | Catherine Mary Emerick | Nurse Practitioner | 20209 Sentara Way, Carrollton, VA 23314-3573 | 2017-08-21 |
| 1033666938 | Jessica Marie Cournoyer | Registered Nurse | 20209 Sentara Way, Suite 200, Carrollton, VA 23314-3573 | 2016-09-08 |
| 1750746210 | Lachelle Blunt-evans | Nurse Practitioner | 20209 Sentara Way, Suite 200, Carrollton, VA 23314-3573 | 2015-12-28 |
| 1376836536 | Amber Mitchell Stinson | Nurse Practitioner | 20209 Sentara Way, Ste 100, Carrollton, VA 23314-3573 | 2011-05-20 |
| 1700087202 | Foroozan Afsharchi | Family Medicine | 20209 Sentara Way, Ste 200, Carrollton, VA 23314-3573 | 2007-05-30 |
| 1962617431 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 20209 Sentara Way, Suite 100, Carrollton, VA 23314-3575 | 2007-05-10 |
| 1689792095 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 20209 Sentara Way, Suite 200, Carrollton, VA 23314-3575 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257749 | Humanity Home Health LLC | Home Health | 15046 Carrollton Blvd., Ste G, Carrollton, VA 23314 | 2019-04-17 |
| 1629585674 | Cuadro Home Care Incorporated | Respite Care | 14192 Chapmans Ln, Carrollton, VA 23314 | 2017-12-29 |
| 1801325394 | Crystal Hunt | Specialist/Technologist | 13177 Lake Pointe Dr, Carrollton, VA 23314 | 2017-06-08 |
| 1134193428 | Jesse Stephens Julian Jr. | Surgery | 506 Founders Pointe Trail, Carrollton, VA 23314 | 2006-02-14 |
| 1639582539 | Sarah Forsythe | Family Medicine | 20209 Sentara Way Ste 200, Carrollton, VA 23314 | 2014-06-09 |
| 1902834815 | Marcus James Miller | Respiratory Therapist, Certified | 304 Marshview Ct, Carrollton, VA 23314-2242 | 2006-06-29 |
| 1518290378 | Kimberly A Quinter | Physician Assistant | 16160 Quail Crescent Ln, Carrollton, VA 23314-2251 | 2009-09-11 |
| 1609259787 | Professional Home Health Care LLC | Home Health | 15207 Carrollton Blvd, Carrollton, VA 23314-2303 | 2015-07-07 |
| 1053375030 | Dva Renal Healthcare, Inc. | Clinic/Center | 15225 Carrollton Blvd, Carrollton, VA 23314-2303 | 2006-04-14 |
| 1831569425 | Professional Home Health Care LLC | Respite Care | 15207 Carrollton Blvd, Carrollton, VA 23314-2303 | 2015-09-25 |
| Find all providers in zip 23314 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1710914247 | Charlie C. Rouse | Internal Medicine | 129 Bankhead Hwy, Carrollton, GA 30117-3425 | 2006-06-28 |
| 1598715203 | Chelif Junor | Internal Medicine | 705 Dixie St Ste 401, Carrollton, GA 30117-3818 | 2006-05-11 |
| 1629058573 | William Evan Rogers Sr. | Internal Medicine | 705 Dixie Street, Ste 401, Carrollton, GA 30117 | 2006-01-18 |
| 1912254624 | Olusegun Ayodeji Sheyin | Internal Medicine | 705 Dixie St Ste 401, Carrollton, GA 30117 | 2012-08-13 |
| 1154678415 | Meritas Health Corporation | Internal Medicine | 1502 N Jefferson St, Carrollton, MO 64633-1948 | 2012-08-06 |
| 1932421187 | West Georgia Cardiology Associates, PC | Internal Medicine | 129 Bankhead Hwy, Carrollton, GA 30117-3425 | 2010-02-15 |
| 1962638437 | Dia Smiley | Internal Medicine | 705 Dixie St, Suite 401, Carrollton, GA 30117-3818 | 2009-06-10 |
| 1295987337 | Cardiovascular Consultants of North Texas, LLP | Internal Medicine | 2340 E Trinity Mills Rd, Suite 118, Carrollton, TX 75006-1942 | 2008-10-21 |
| 1457518656 | Cardiovascular Consultants, Inc. | Internal Medicine | 1020 Trump Rd Nw, Carrollton, OH 44615-8422 | 2008-05-16 |
| 1699945584 | Vidyasagar Chodimella, Md, Facc, P.a. | Internal Medicine | 4325 N Josey Ln, Suite 204, Carrollton, TX 75010-4635 | 2008-03-06 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 23314 |
Please comment or provide details below to improve the information on SENTARA MEDICAL GROUP.
| 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.