SENTARA MEDICAL GROUP (NPI# 1952727588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952727588 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA PODIATRY SPECIALISTS |
| Practice Address |
725 Volvo Pkwy Ste 210 Chesapeake VA 23320-1602 |
| Practice Telephone | 7572524200 |
| Practice Fax Number | 7574107993 |
| Mailing Telephone | 7572524200 |
| Mailing Fax Number | 7574107993 |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-09-23 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | VA | Suppliers | |
| Y | 213E00000X | Podiatrist | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Podiatry 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 |
725 VOLVO PKWY STE 210 |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386041 | Marc Kamel Boustany | Specialist | 725 Volvo Pkwy, Ste. 210, Chesapeake, VA 23320-1602 | 2005-06-15 |
| 1487214235 | Paige C Fedro | Physician Assistant | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2019-06-14 |
| 1205391166 | Sonya Leann Woronowicz | Nurse Practitioner | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2019-02-05 |
| 1316401359 | Electrophysiologic Testing and Physical Therapy Services | Physical Therapist | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2019-01-23 |
| 1962985655 | Kelsey Jordana Garner | Physician Assistant | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2018-09-10 |
| 1881188183 | Lindsay Piccillo Houghton | Registered Nurse | 725 Volvo Pkwy, Chesapeake, VA 23320 | 2018-06-20 |
| 1437690153 | Caitlin T Johnson | Nurse Practitioner | 725 Volvo Pkwy, Ste 102, Chesapeake, VA 23320-1621 | 2017-03-14 |
| 1932511441 | Van Thi Nguyen | Family Medicine | 725 Volvo Pkwy, Chesapeake, VA 23320-1621 | 2014-06-02 |
| 1225276785 | Sentara Medical Group | Orthopaedic Surgery | 725 Volvo Pkwy, Ste 210, Chesapeake, VA 23320-1602 | 2009-01-21 |
| 1780840199 | Virginia Oncology Associates | Non-Pharmacy Dispensing Site | 725 Volvo Pkwy, Suite 200, Chesapeake, VA 23320-1602 | 2008-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700071529 | Rex Galam Diaz | Podiatrist | 612 Kingsborough Sq Suite 202, Chesapeake, VA 23320 | 2007-09-14 |
| 1326016510 | Harry A Fee | Podiatrist | 1098 Cascade Blvd, Chesapeake, VA 23324-3530 | 2006-03-14 |
| 1487622445 | Philbert Kuo | Podiatrist | 3212 Churchland Blvd, Suite 10, Chesapeake, VA 23321-5262 | 2006-03-08 |
| 1881678613 | Alan Robert Cook | Podiatrist | 108 American Legion Rd, Chesapeake, VA 23321-5657 | 2005-12-05 |
| 1487653440 | George H Evancho | Podiatrist | 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 | 2005-07-20 |
| 1124308507 | Diaz Foot & Ankle Center Pllc | Podiatrist | 612 Kingsborough Sq, Suite 202, Chesapeake, VA 23320-5041 | 2011-08-17 |
| 1952611568 | Advanced Podiatry of Hampton Roads | Podiatrist | 612 Kingsborough Square, Suite 202, Chesapeake, VA 23320 | 2010-10-15 |
| 1558681197 | Munjed Salem | Podiatrist | 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 | 2010-06-06 |
| 1568605632 | Philbert H. Kuo, D.p.m. | Podiatrist | 3212 Churchland Blvd, Suite 10, Chesapeake, VA 23321-5262 | 2009-04-19 |
| 1962666073 | Dr.jamesl Singletonjr Dpm | Podiatrist | 1098 Cascade Blvd, 1098 Cascade Blvd., Chesapeake, VA 23324-3530 | 2008-07-17 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
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.