SENTARA MEDICAL GROUP


Address: 4000 Coliseum Dr, Ste 100, Hampton, VA 23666-5906
Phone: 7577260078

SENTARA MEDICAL GROUP (NPI# 1811257132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811257132
Entity Type Organization
Organization Name SENTARA MEDICAL GROUP
Other Organization Name SENTARA CARDIOLOGY SPECIALISTS
Practice Address 4000 Coliseum Dr
Ste 100
Hampton
VA 23666-5906
Practice Telephone 7577260078
Mailing Telephone 7577260078
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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
VA MEDICARE GROUP NUMBER C02033 01

Other Provider/Organization Names

Other Name Type Code
Sentara Cardiology Specialists Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 4000 COLISEUM DR
STE 100
City HAMPTON
State VA
Zip Code 23666-5906

Providers in the same location

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
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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174506950 John Paul Jones Internal Medicine 2116 Executive Dr, Hampton, VA 23666-2402 2005-11-25
1053566794 Riverside Physician Services, Inc Internal Medicine 4000 Coliseum Drive, Ste 210, Hampton, VA 23666-5975 2008-11-21
1518142553 Riverside Physician Services Inc Internal Medicine 2112 Hartford Rd, Suite B, Hampton, VA 23666-6601 2008-01-09
1194830174 Philip T Selvarayan Internal Medicine Va Med Ctr, 100 Emanc Dr, Hampton, VA 23667-0001 2006-08-20
1225081201 Tidewater Heart Institute Inc Internal Medicine 2116 Executive Dr, Hampton, VA 23666-2402 2006-05-18
1780642124 Patricia A. Nahormek Internal Medicine 2112 Hartford Rd, Suite B, Hampton, VA 23666-6601 2006-05-03
1336107762 Mark W Clark X Internal Medicine 2112 Hartford Rd, Suite B, Hampton, VA 23666-6601 2006-05-03
1730147893 Michael F Plott Internal Medicine 100 Emancipation Dr, Hampton, VA 23667-0001 2006-05-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407482102 Careclix Inc Internal Medicine 206 N Washington St Ste 100, Alexandria, VA 22314-2534 2020-03-14
1962046763 Southpark Vascular Center Internal Medicine 445 Charles H Dimmock Pkwy Ste 101, Colonial Heights, VA 23834-2990 2019-11-05
1205496866 United Diagnostic Services LLC Internal Medicine 4115 Annandale Rd Ste 301d, Annandale, VA 22003-2500 2019-06-17
1790348365 Virginia Hospital Center Physician Group LLC Internal Medicine 1625 N George Mason Dr Ste 354, Arlington, VA 22205-3687 2019-04-18
1366905523 Premier Cardiac and Vascular LLC Internal Medicine 5514 Alma Ln Ste 200, Springfield, VA 22151-4014 2019-04-12
1083133144 Community Cardiology Internal Medicine 43 Rives Rd Ste 201, Petersburg, VA 23805-9255 2017-09-11
1306361803 Stateline Heart and Vascular Health, Inc Internal Medicine 312 Fairy Street Ext Ste 101, Martinsville, VA 24112-1912 2017-08-07
1265954747 Sentara Medical Group Internal Medicine 1933 Edwin Dr Ste 208a, Chesapeake, VA 23322-6531 2017-07-17
1003366618 Bluefield Vascular Center Internal Medicine 970 Leatherwood Ln, Bluefield, VA 24605-2047 2016-10-06
1770947806 Rajiv Ashok Kabadi Internal Medicine Vcuhs Department of Cards Fellowship, 980509, 1250 E. Marshall Street, Richmond, VA 23298-0509 2016-04-05
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Competitor

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City HAMPTON
Zip Code 23666

Improve Information

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Dataset Information

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.

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