SENTARA MEDICAL GROUP (NPI# 1902144033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902144033 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA COMPREHENSIVE PAIN MANAGEMENT SPECIALISTS |
| Practice Address |
1975 Glenn Mitchell Dr Virginia Beach VA 23456-0167 |
| Practice Telephone | 7575071660 |
| Practice Fax Number | 7575109363 |
| Mailing Telephone | 7575071660 |
| Mailing Fax Number | 7575109363 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |
| 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 |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Comprehensive Pain Management 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 |
1975 GLENN MITCHELL DR |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23456-0167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205819828 | Lankhue Dinh | Physical Therapist | 1975 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0167 | 2005-11-29 |
| 1801277868 | Amanda Lillie Justus | Physician Assistant | 1975 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0167 | 2015-06-16 |
| 1699178343 | Jennifer Lee Rascoe | Registered Nurse | 1975 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0167 | 2014-10-08 |
| 1790114064 | Morgan A Hopkins | Physical Therapist | 1975 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0167 | 2013-11-06 |
| 1275874125 | Alexandra Fackrell | Occupational Therapist | 1975 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456 | 2013-03-01 |
| 1194080648 | Ryan Joseph Davis | Physical Therapist | 1975 Glenn Mitchell Dr, Suite 200, Virginia Beach, VA 23456-0167 | 2012-07-11 |
| 1194009282 | Sentara Medical Group | Internal Medicine | 1975 Glenn Mitchell Dr, Ste 202, Virginia Beach, VA 23456-0167 | 2011-10-06 |
| 1710291927 | Vann Virginia Center for Orthopaedics | Occupational Therapist | 1975 Glenn Mitchell Dr, Suite 300, Virginia Beach, VA 23456-0167 | 2010-07-29 |
| 1649317652 | James Joseph Exner | Pharmacist | 1975 Glenn Mitchell Dr, Suite 104, Virginia Beach, VA 23456 | 2007-01-31 |
| 1790837854 | Platinum Eye Care LLC | Optometrist | 1975 Glenn Mitchell Dr, Suite 104, Virginia Beach, VA 23456-0167 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336679349 | Joelene Grandy | Contractor | 1892 Riverrock Arch, Virginia Beach, VA 23456 | 2017-06-13 |
| 1023568995 | Red Mill Pediatric Dentistry and Behl Orthodontics Pllc | Dentist | 2033 Fisher Arch, Ste 100, Virginia Beach, VA 23456 | 2016-10-04 |
| 1609235803 | Maria Teresa Olivas | Registered Nurse | 3212 Fluuanna Circle, Virginia Beach, VA 23456 | 2016-02-16 |
| 1326434747 | Catharine White Cartwright | Physician Assistant | 2501 James Madison Blvd, Virginia Beach, VA 23456 | 2015-04-13 |
| 1598153785 | Harris Teeter LLC | Pharmacy | 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 | 2014-12-23 |
| 1881034023 | Kimberly Ann Benson | Dentist | 2105 Princess Anne Road, Suite 108, Virginia Beach, VA 23456 | 2013-07-02 |
| 1124378450 | Phyllis A. Wilson | Psychologist | 1249 Eagle Way, Virginia Beach, VA 23456 | 2012-09-13 |
| 1033477807 | Wolfgang J. Bay | Dentist | 1625 Salem Road #101, Virginia Beach, VA 23456 | 2012-04-30 |
| 1881974475 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2232 General Booth Blvd, Virginia Beach, VA 23456 | 2011-08-26 |
| 1780988857 | Casey Snyder | Dentist | 2484 North Landing Road, Virginia Beach, VA 23456 | 2011-01-05 |
| Find all providers in zip 23456 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285109033 | Barr Center for Innovative Pain & Regenerative Therapies Pllc | Pain Medicine | 933 First Colonial Rd Ste 200, Virginia Beach, VA 23454-3172 | 2018-10-09 |
| 1669779252 | Bon Secours Depaul Medical Center | Pain Medicine | 4445 Corporation Ln, Suite 120, Virginia Beach, VA 23462-3262 | 2011-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104380468 | Nova Addiction Center | Pain Medicine | 21135 Whitfield Pl Ste 101, Sterling, VA 20165-7279 | 2019-01-30 |
| 1366952848 | Charlottesville Interventional Pain Management LLC | Pain Medicine | 2050 Abbey Rd Ste A, Charlottesville, VA 22911-3553 | 2017-10-10 |
| 1821338559 | Physical Medicine Associates Ltd | Pain Medicine | 3803 Fairfax Dr, Suite 400, Arlington, VA 22203-5860 | 2013-02-16 |
| 1104163021 | Phyllis Jean Justus | Pain Medicine | 8 Radford St Ste 202, Christiansburg, VA 24073-3341 | 2013-01-11 |
| 1851607287 | Jeffrey B. Gogel, D.o. P.C. | Pain Medicine | 18250 Forest Rd Ste 1, Forest, VA 24551-4688 | 2010-08-23 |
| 1114239639 | Mandira N Mehra | Pain Medicine | 4437 Brookfield Corporate Dr Ste 109, Chantilly, VA 20151-2122 | 2010-07-13 |
| 1396074704 | Minimally Invasive Pain Institute, Pllc | Pain Medicine | 45189 Research Pl, Suite 140, Ashburn, VA 20147-2694 | 2009-12-14 |
| 1205990983 | Tabitha T Garrison | Pain Medicine | 173 East Springbrook Road, Broadway, VA 22815 | 2006-12-20 |
| 1619056124 | David Lee Morgan | Pain Medicine | 103 Progress St., Pembroke, VA 24136-0487 | 2006-11-03 |
| 1235156084 | Samad Oraee | Pain Medicine | 2050 Old Bridge Rd, Ste 200, Woodbridge, VA 22192-2481 | 2006-07-17 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23456 |
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.