SENTARA MEDICAL GROUP (NPI# 1962786137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962786137 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA PEDIATRIC OPHTHALMOLOGY SPECIALISTS |
| Practice Address |
2300 Opitz Blvd Woodbridge VA 22191-3311 |
| Practice Telephone | 7575941887 |
| Mailing Telephone | 7575941887 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |
| 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 |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Pediatric Ophthalmology 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 |
2300 OPITZ BLVD |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730180944 | Bestpractices, Inc. | Emergency Medicine | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2005-08-10 |
| 1457967580 | Rodaba Ahmadi Meherzad | Specialist/Technologist, Other | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2020-09-23 |
| 1548800659 | Apsara Aryal | Nurse Practitioner | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2020-01-07 |
| 1255986147 | Premier Anesthesia of Virginia LLC | Nurse Anesthetist, Certified Registered | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2019-08-07 |
| 1457816522 | Imrad of Virginia Pllc | Radiology | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2019-02-04 |
| 1245704022 | Claire Caine | Nurse Anesthetist, Certified Registered | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2019-01-15 |
| 1912479692 | Mohammad Omar Malikasghar | Surgery | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2018-12-19 |
| 1811463086 | New Life Medical LLC | Internal Medicine | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2018-10-16 |
| 1396246732 | Chayamorn Leeraksakiat | Nurse Anesthetist, Certified Registered | 2300 Opitz Blvd, Woodbridge, VA 22191 | 2018-02-21 |
| 1386151587 | Libby Oldenburg | Nurse Anesthetist, Certified Registered | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2018-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700142114 | Lake Ridge Ophthalmology LLC | Ophthalmology | 12800 Darby Brook Ct, Woodbridge, VA 22192-8007 | 2012-04-10 |
| 1194982819 | Potomac Ophthalmology PC | Ophthalmology | 2296 Opitz Blvd, Suite 410, Woodbridge, VA 22191-3300 | 2008-05-20 |
| 1780720532 | Advanced Ophthalmology Inc | Ophthalmology | 14904 Jefferson Davis Hwy, Suite 308, Woodbridge, VA 22191-3908 | 2007-01-29 |
| 1144335480 | Maureen Theresa O'dea | Ophthalmology | 2296 Opitz Blvd, Suite 410, Woodbridge, VA 22191-3300 | 2006-08-19 |
| 1962499186 | Babur Bari Lateef | Ophthalmology | 14904 Jefferson Davis Hwy, Suite 308, Woodbridge, VA 22191-3908 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232854 | Albemarle Eye Center, Pllc | Ophthalmology | 560 Kempsville Rd Ste 100, Chesapeake, VA 23320-3603 | 2020-07-08 |
| 1679190334 | Virginia Vision & Surgery, Pllc | Ophthalmology | 4917 Richmond Tappahannock Hwy Ste 1a, Aylett, VA 23009-3416 | 2020-06-29 |
| 1841833480 | Paragon Retina Pllc | Ophthalmology | 8320 Old Courthouse Rd Ste 302, Vienna, VA 22182-3831 | 2019-10-28 |
| 1760036206 | Chesapeake Eye Care & Laser Center LLC | Ophthalmology | 6845 Elm Street Ste 250, Mclean, VA 22101 | 2019-08-01 |
| 1821650615 | Rebecca Leigh Zaydel | Ophthalmology | 2051 Sun Harbour Ave Ste 110, Suffolk, VA 23435-3843 | 2019-07-02 |
| 1518427368 | Capital Eye Care LLC | Ophthalmology | 3289 Woodburn Rd Ste 270, Annandale, VA 22003-7351 | 2019-03-20 |
| 1194224246 | Chesapeake Eye Care & Laser Center LLC | Ophthalmology | 1635 N George Mason Dr Ste 100, Arlington, VA 22205-3604 | 2018-02-05 |
| 1548770035 | Cataract Vision Institute Virginia LLC | Ophthalmology | 8614 Westwood Center Dr Ste 650, Vienna, VA 22182-2257 | 2017-10-10 |
| 1184077976 | Loudoun Medical Group PC | Ophthalmology | 1901 N Beauregard St, Suite 100, Alexandria, VA 22311-1738 | 2016-07-18 |
| 1043674013 | Robert Lawrence Kost | Ophthalmology | 850 Enterprise Pkwy Ste 1200, Hampton, VA 23666-6251 | 2016-04-06 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
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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.