SENTARA MEDICAL GROUP


Address: 4701 Spotsylvania Pkwy, Fredericksburg, VA 22407-9435
Phone: 5407857810

SENTARA MEDICAL GROUP (NPI# 1043694193) 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) 1043694193
Entity Type Organization
Organization Name SENTARA MEDICAL GROUP
Other Organization Name SENTARA PRATT MEDICAL GROUP
Practice Address 4701 Spotsylvania Pkwy
Fredericksburg
VA 22407-9435
Practice Telephone 5407857810
Practice Fax Number 5408345441
Mailing Telephone 5407857810
Mailing Fax Number 5408345441
Enumeration Date 2015-07-17
Last Update Date 2015-07-17
Authorized Official Name CINDY A TAYLOR (MANAGER)
Authorized Official Telephone 7572522765
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology VA Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology VA Allopathic & Osteopathic Physicians
N 208000000X Pediatrics VA Allopathic & Osteopathic Physicians
N 208600000X Surgery VA Allopathic & Osteopathic Physicians
N 332B00000X Durable Medical Equipment & Medical Supplies VA Suppliers
Y 207Q00000X Family Medicine VA 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 Pratt Medical Group 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 4701 SPOTSYLVANIA PKWY
City FREDERICKSBURG
State VA
Zip Code 22407-9435

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548233703 Henry S Wicker Jr. Surgery 4701 Spotsylvania Pkwy, Suite 203, Fredericksburg, VA 22407-9435 2006-02-08
1952847675 Golver Dialysis LLC Clinic/Center 4701 Spotsylvania Pkwy, Ste 109, Fredericksburg, VA 22407-9435 2017-01-19
1730530213 Fusion Physiotherapy Associates LLC Physical Therapist 4701 Spotsylvania Pkwy, Suite 106, Fredericksburg, VA 22407-9435 2016-06-27
1639513245 Sarah M Kiely Nurse Practitioner 4701 Spotsylvania Pkwy, Suite 204, Fredericksburg, VA 22407-9435 2013-04-25
1144584293 Stephanie A Ferguson Nurse Practitioner 4701 Spotsylvania Pkwy, Suite 204, Fredericksburg, VA 22407-9435 2012-07-03
1023261195 Hedy K Campos Nurse Practitioner 4701 Spotsylvania Pkwy, Ste 101, Fredericksburg, VA 22407-9435 2008-11-02
1609898667 Rebecca S Simes Pediatrics 4701 Spotsylvania Pkwy, Suite 205, Fredericksburg, VA 22407-9435 2006-07-25
1962449488 Rosemary Harwood Family Medicine 4701 Spotsylvania Pkwy, Suite 204, Fredericksburg, VA 22407-9435 2006-06-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174120596 Nutrition for You, LLC 1129 Heatherstone Drive, Fredericksburg, VA 22407 2020-10-08
1881241016 Jessica Tran Optometrist 395-a Spotsylvania Towne Centre, Fredericksburg, VA 22407 2019-08-22
1376039065 Virginia Cvs Pharmacy, LLC Durable Medical Equipment & Medical Supplies 6010 Plank Rd, Fredericksburg, VA 22407 2018-07-05
1366935967 Vip Medical Transportation LLC Non-emergency Medical Transport (VAN) 5710 Lucas St, Fredericksburg, VA 22407 2018-06-08
1407348501 Dina Maria Martinez Lombardy Counselor 6506 Forest Grove Dr, Fredericksburg, VA 22407 2018-06-04
1881192342 Alyssa Testa Specialist/Technologist 5219 Mcmanus Dr, Fredericksburg, VA 22407 2018-01-30
1437675725 Jacqueline D. Turner Driver 7112 Sharon Rd, Fredericksburg, VA 22407 2017-08-17
1689199556 Audrey Daniel Driver 10701 Leavells Road, Fredericksburg, VA 22407 2017-08-11
1740722982 T&d Optometry, LLC Optometrist 400 Spotsylvania Towne Centre, (spotsylvania Towne Centre--next To Jcpenney Optical), Fredericksburg, VA 22407 2016-11-04
1639521164 Fredericksburg Eyecare LLC Optometrist 395a Towne Centre Blvd, Fredericksburg, VA 22407 2016-07-08
Find all providers in zip 22407

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922579630 Primary and Urgent Care LLC Family Medicine Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 2018-12-07
1477905784 Metropolitan Health Care Providers, Inc Family Medicine 12702 Maxwell Ct, Fredericksburg, VA 22407-2272 2016-07-11
1497106504 Centercare Family Practice, LLC Family Medicine 2565 Cowan Blvd, Fredericksburg, VA 22401-8440 2016-06-29
1477933851 Hill Country Integrative Medicine Family Medicine 1603 E Main St Unit A, Fredericksburg, TX 78624-5450 2015-06-01
1043563174 Primary and Urgent Care LLC Family Medicine 10009 South Point Parkway, Suite # 200, Fredericksburg, VA 22407 2012-10-26
1225322639 Raymond Smith Family Medicine 608 Royal Oaks Loop, Fredericksburg, TX 78624-6663 2011-06-02
1649414137 Donna Roxanne Richards Family Medicine 21 Dabney Ct, Fredericksburg, VA 22405-2173 2009-04-28
1235375007 Nicquia Spain Family Medicine 4535 Spotsylvania Pkwy, Fredericksburg, VA 22408-7768 2008-12-30
1952520330 Naeem Ahmad Family Medicine 4510 Plank Rd, Suite 200, Fredericksburg, VA 22407-0138 2007-04-24
1154545028 Muhammad Jadoon Family Medicine 1000 Sam Perry Blvd, Fredericksburg, VA 22405 2007-04-12
Find all providers in FREDERICKSBURG

Competitor

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City FREDERICKSBURG
Zip Code 22407

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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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