SENTARA MEDICAL GROUP (NPI# 1164635579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164635579 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA DIVISION OF HOSPITAL MEDICINE - WILLIAMSBURG |
| Practice Address |
100 Sentara Circle Williamsburg VA 23188 |
| Practice Telephone | 7573454500 |
| Practice Fax Number | 7573454501 |
| Mailing Telephone | 7573454500 |
| Mailing Fax Number | 7573454501 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CINDY A TAYLOR (MANAGER) |
| Authorized Official Telephone | 7576871076 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sentara Division of Hospital Medicine - Williamsburg | 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 |
100 SENTARA CIRCLE |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003803487 | Troy W Thompson | Specialist | 100 Sentara Circle, Sentara Williamsburg Regional Medical Center, Williamsburg, VA 23188 | 2005-09-30 |
| 1659441574 | Nora Robinson Taylor | Internal Medicine | 100 Sentara Circle, Williamsburg, VA 23188 | 2006-11-08 |
| 1164537213 | Michael Salvatore Montileone | Radiology | 100 Sentara Circle, Sentara Williamsburg Regional Medical Center, Williamsburg, VA 23188 | 2006-08-20 |
| 1508877820 | Thomas Maxwell Jamison | Radiology | 100 Sentara Circle, Sentara Williamsburg Regional Medical Center, Williamsburg, VA 23188 | 2006-08-11 |
| 1689641193 | John R Kaiser | Internal Medicine | 100 Sentara Circle, Room 2c, Williamsburg, VA 23188-5714 | 2006-03-02 |
| 1477523066 | Shannon M Mcdonnell | Emergency Medicine | 100 Sentara Circle, Williamsburg, VA 23188-5713 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306374020 | Louis Wenell Varella II | Hospitalist | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 | 2017-05-24 |
| 1255779435 | Riverside Physician Services Inc | Hospitalist | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 | 2013-06-10 |
| 1518064922 | Commonwealth of Virginia Department of Behavi | Hospitalist | 4601 Ironbound Rd, Williamsburg, VA 23188-2652 | 2006-09-20 |
| 1437168507 | Amy Ann Americo | Hospitalist | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 | 2006-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447811443 | S. Wyatt, Pllc | Hospitalist | 7457 Mook Ct, Mechanicsville, VA 23111-1452 | 2019-06-21 |
| 1568028082 | Daniel Kamara | Hospitalist | 1102 Commerce St # H, Lynchburg, VA 24504-1719 | 2019-05-10 |
| 1235521667 | Medical Solutions of Virginia, Inc | Hospitalist | 717 Elm Forest Ct, Chesapeake, VA 23322-7589 | 2015-02-23 |
| 1043521800 | Ashish Patel | Hospitalist | 7151 Jahnke Rd, Richmond, VA 23225 | 2010-06-27 |
| 1457672024 | Baidaa N Sullivani | Hospitalist | 3136 Turnberry Cir, Charlottesville, VA 22911-7489 | 2010-06-18 |
| 1922323435 | Lily O Otolorin | Hospitalist | 2337 Kew Gardens Dr, Woodbridge, VA 22191-6577 | 2010-03-29 |
| 1700012473 | Abreham Baye Feleke | Hospitalist | Mcguire Va Medical Center 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2009-06-08 |
| 1134363427 | Yuri Maricich | Hospitalist | 977 Seminole Trl, #357, Charlottesville, VA 22901-2824 | 2009-04-30 |
| 1174790588 | James Hyun Jin So | Hospitalist | 4000 Barringer Ln, Apt 1938, Richmond, VA 23233-1158 | 2008-05-14 |
| 1861680662 | Riversbend Hospitalists P.C. | Hospitalist | 835 Club Ridge Ter, Chester, VA 23836-2746 | 2007-10-06 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
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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.