SENTARA MEDICAL GROUP (NPI# 1255587697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255587697 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA INTERNAL MEDICINE PHYSICIANS |
| Practice Address |
4001 Coliseum Dr Ste. 310 Hampton VA 23666-6257 |
| Practice Telephone | 7577239380 |
| Mailing Telephone | 7577239380 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2011-12-02 |
| 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 |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sentara Internal Medicine Physicians | 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 |
4001 COLISEUM DR STE. 310 |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-6257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124093166 | Sandra S Johnson | Internal Medicine | 4001 Coliseum Dr, Ste 300-310, Hampton, VA 23666-6257 | 2006-02-22 |
| 1982011540 | Sentara Health Care | Clinic/Center | 4001 Coliseum Dr, St 200, Hampton, VA 23666-6257 | 2014-07-16 |
| 1649530965 | Sentara Medical Group | Internal Medicine | 4001 Coliseum Dr, Ste 310, Hampton, VA 23666-6257 | 2012-05-21 |
| 1942469945 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 4001 Coliseum Dr, Suite 305, Hampton, VA 23666-6256 | 2008-06-04 |
| 1720251226 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 4001 Coliseum Dr, Ste. 300, Hampton, VA 23666-6257 | 2008-04-07 |
| 1225155914 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 4001 Coliseum Dr, Ste 300, Hampton, VA 23666-6257 | 2007-03-26 |
| 1568497675 | Melvin Russell Johnson | Internal Medicine | 4001 Coliseum Dr, Ste 310, Hampton, VA 23666-6257 | 2006-07-11 |
| 1427023340 | Robert H Hunter | Family Medicine | 4001 Coliseum Dr, Ste 300-310, Hampton, VA 23666-6257 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952718520 | Kashmal Patel | Internal Medicine | 49 W Mercury Blvd, Hampton, VA 23669-2508 | 2014-07-16 |
| 1962812396 | Sabita R Sarkar | Internal Medicine | 100 Emancipation Dr Hampton Va 23667, Hampton, VA 23667-2237 | 2014-05-07 |
| 1588924252 | Iris Castro-revoredo Md Inc | Internal Medicine | 13957 Woolsey Rd, Hampton, GA 30228-2246 | 2012-05-29 |
| 1215220389 | Mamta Ojha | Internal Medicine | 4001 Coliseum Dr Ste 300, Hampton, VA 23666-6257 | 2011-05-24 |
| 1477888659 | Theodore R Reiff | Internal Medicine | 2 Diamond Hill Rd, Hampton, VA 23666-6009 | 2009-10-06 |
| 1588894455 | Thomas Michael Shea | Internal Medicine | 37 Diller Way, Hampton, NJ 08827-2533 | 2009-07-24 |
| 1588824072 | Jennifer Christiansen | Internal Medicine | 428 Lafayette Rd, Apt 101, Hampton, NH 03842-2268 | 2008-06-10 |
| 1073715736 | William Edward Brown IIi | Internal Medicine | 6 Manhattan Sq Ste 100, Hampton, VA 23666-5846 | 2007-06-04 |
| 1356468466 | Abdul H. Jamaludeen, Md | Internal Medicine | 441 Algonquin Rd, Hampton, VA 23661-1515 | 2007-03-23 |
| 1326124884 | Anacleto Gamit Gallanosa | Internal Medicine | 39 Timberline Drive, Hampton, VA 23666 | 2006-10-27 |
| Find all providers in HAMPTON | ||||
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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.