Sam Waltos (NPI# 1154702868, PAC ID# 7012208044) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1154702868 |
| PAC ID by PECOS | 7012208044 |
| Professional Enrollment ID | I20190416002003 |
| Full Name | Sam Waltos |
| Organization Legal Name | SENTARA MEDICAL GROUP |
| Address |
2017 Pleasure House Rd Virginia Beach VA 23455-2709 |
| Phone Number | 7573186900 |
| Gender | F |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8921903923 |
| Number of Group Practice Members | 848 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490057 | SENTARA VIRGINIA BEACH GENERAL HOSPITAL |
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| 490046 | SENTARA LEIGH HOSPITAL |
| 490119 | SENTARA PRINCESS ANNE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 | 7573186900 | SENTARA MEDICAL GROUP |
| Organization Legal Name | SENTARA MEDICAL GROUP |
| Physicians | 866 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Merrilyn E Nelson | Family Medicine | Sentara Medical Group | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 |
| Natalia Zapata | Nurse Practitioner | Sentara Medical Group | 303 35th St, Suite 102, Virginia Beach, VA 23451-2868 |
| Meredith Constance Galt | Physician Assistant | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Christopher Nein | Family Medicine | Sentara Medical Group | 3920 Bridge Rd A, Suffolk, VA 23435-1117 |
| Mary Townsend Adams | Nurse Practitioner | Sentara Medical Group | 3600 Pointe Ctr Ct, Dumfries, VA 22026-2669 |
| Laura Renee Pinkney | Nurse Practitioner | Sentara Medical Group | 3920 A Bridge Rd, Suite 207, Suffolk, VA 23435-1107 |
| Erica L Formato | Family Medicine | Sentara Medical Group | 2760 Godwin Blvd, Suite 100, Suffolk, VA 23434-8501 |
| Diane Renee Weidner | Nurse Practitioner | Sentara Medical Group | 500 Sentara Circle, Suite 202, Williamsburg, VA 23188-5727 |
| Julie Sharlene Jones | Nurse Practitioner | Sentara Medical Group | 633 Battlefield Blcd S, 300 Intracoastal Family Practice, Chesapeake, VA 23322-4800 |
| Martha I Morolari | Nurse Practitioner | Sentara Medical Group | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 |
| Street Address |
2017 PLEASURE HOUSE RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip | 23455-2709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith Constance Galt | Physician Assistant | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Samurdhi J Roberts | Physician Assistant | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Leah A Stewart | Nurse Practitioner | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Florisa S Singson | Family Medicine | 4501 N Witch Duck Rd, Suite B, Virginia Beach, VA 23455 | |
| Catherine I Bowers | Registered Dietitian Or Nutrition Professional | 2501 Windy Rd, Virginia Beach, VA 23455-1532 | |
| Jamie Ducharme | Psychologist, Clinical | 2005 Pleasure House Rd, Virginia Beach, VA 23455-2709 | |
| Thomas J Morgan | Chiropractic | 4837 Shore Dr, Virginia Beach, VA 23455-2714 | |
| Carly Schuler Swift | Chiropractic | 4640 Shore Dr, Suite 106, Virginia Beach, VA 23455-2859 | |
| Mark Scott | Chiropractic | 1801 Pleasure House Rd, Suite 105, Virginia Beach, VA 23455-2990 | |
| Terry D Caldwell | Clinical Social Worker | Quietly Radiant Psychiatric Services | 1300 Diamond Springs Rd, Suite 503, Virginia Beach, VA 23455-3645 |
| Georgia S Phillips | Clinical Social Worker | Quietly Radiant Psychiatric Services | 1300 Diamond Springs Rd, Suite 503, Virginia Beach, VA 23455-3645 |
| Udaya K Shetty | Psychiatry | Quietly Radiant Psychiatric Services | 1300 Diamond Springs Rd, Suite 503, Virginia Beach, VA 23455-3645 |
| Dana M Dixon | Clinical Social Worker | Quietly Radiant Psychiatric Services | 1300 Diamond Springs Rd, Suite 503, Virginia Beach, VA 23455-3645 |
| Find all physicians in zip 23455 | |||
| City | VIRGINIA BEACH |
| Zip Code | 23455 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VIRGINIA BEACH + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.