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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | MEDICARE GROUP NUMBER | C02033 | 01 |
Other Name | Type Code |
---|---|
Sentara Pratt Medical Group | 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 |
4701 SPOTSYLVANIA PKWY |
City | FREDERICKSBURG |
State | VA |
Zip Code | 22407-9435 |
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 |
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 Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
City | FREDERICKSBURG |
Zip Code | 22407 |
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.