SENTARA MEDICAL GROUP


Address: 844 Kempsville Rd Ste 103, Norfolk, VA 23502
Phone: 7572615909

SENTARA MEDICAL GROUP (NPI# 1336627207) 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) 1336627207
Entity Type Organization
Organization Name SENTARA MEDICAL GROUP
Other Organization Name SENTARA OCCUPATIONAL MEDICINE
Practice Address 844 Kempsville Rd Ste 103
Norfolk
VA 23502
Mailing Address 850 Kempsville Rd Ste 100b
Norfolk
VA 23502-3920
Practice Telephone 7572615909
Practice Fax Number 7572610249
Mailing Telephone 7572615909
Mailing Fax Number 7572610249
Enumeration Date 2018-08-02
Last Update Date 2018-08-27
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 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
Y 261QX0100X Clinic/Center
Specialization: Occupational Medicine
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Sentara Occupational Medicine Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
844 Kempsville Rd Ste 103, Norfolk, VA 235023927 7572615909 7572610249

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
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
1194275859 Sentara Medical Group Family Medicine 3600 Pointe Center Ct, Ste 110, Dumfries, VA 22026-2669 2016-10-06

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 844 KEMPSVILLE RD STE 103
City NORFOLK
State VA
Zip Code 23502

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295210706 Advantage Home Care, LLC Home Health 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 2018-10-01
1548753833 Murphy's Absolute Home Care LLC Home Health 983 Ingleside Rd Ste 6, Norfolk, VA 23502 2018-06-11
1487143939 Valerie Sowder Social Worker 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 2018-05-09
1164938841 Accupoint Diagnostics Clinical Medical Laboratory 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 2017-12-18
1467979351 Lakeshia Louise Perryman Counselor 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 2017-08-23
1841536125 Golden Touch Enterprise Durable Medical Equipment & Medical Supplies 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 2012-12-14
1497029011 Kristine B Rand Counselor 6325 N Center Dr Ste 208, Norfolk, VA 23502 2012-02-29
1427343706 Erica Leigh Streander Pharmacist 471 North Military Hwy, Norfolk, VA 23502 2011-06-14
1215239330 Atlantic Physical Therapy Specialist/Technologist 5610 Lewis Rd, Norfolk, VA 23502 2010-11-22
1881860013 Mark Michael Fernandez Ophthalmology 885 Kempsville Road, Suite 101, Virginia Ophthalmology Associates, PC, Norfolk, VA 23502 2008-05-07
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Taxonomy Information

Taxonomy Code 261QX0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Occupational Medicine

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1851591101 Rehabcare Clinic/Center 1051j Village Hwy, Suite J, Rustburg, VA 24588-3800 2007-07-24
1023219904 Community Physicians Services Corporation Clinic/Center 1418 Park Ave Nw, Norton, VA 24273-1602 2007-05-30
1336282268 Taylor Made Diagnostics Inc. Clinic/Center 1001 Poindexter St, Chesapeake, VA 23324-2444 2007-02-14
1841383866 Grady Health Services Inc. Clinic/Center 7524 Diplomat Dr, Manassas, VA 20109-2685 2006-10-02
1154342160 Imed, Inc. Clinic/Center 838 Old George Washington Hwy N, Suite A, Chesapeake, VA 23323-2209 2006-07-22
1568933182 Dominion Health Medical Assoc Clinic/Center 101 Aubreys Loop, South Boston, VA 24592-5054 2018-12-07
1497114169 Genesis Healthcare Clinic/Center 803 S Main St, Woodstock, VA 22664-1125 2016-02-23
1508245648 Anna Nicole Kostal Clinic/Center 693 Leesville Rd, Lynchburg, VA 24502-2828 2015-05-21
1982009593 Working Well, LLC Clinic/Center 4835 S Laburnum Ave, Richmond, VA 23231-2713 2014-10-24
1629482526 Occupational Health Services Clinic/Center 607 E Jubal Early Dr, Winchester, VA 22601-5178 2014-06-18
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Competitor

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City NORFOLK
Zip Code 23502

Improve Information

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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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