SENTARA MEDICAL GROUP (NPI# 1457610081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457610081 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA CARDIOLOGY SPECIALISTS |
| Practice Address |
844 Kempsville Rd Ste 204 Norfolk VA 23502-3927 |
| Practice Telephone | 7572610070 |
| Mailing Telephone | 7572610070 |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |
| 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 | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Cardiology Specialists | 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 |
844 KEMPSVILLE RD STE 204 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-3927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295733244 | Charles A Wilkes | Obstetrics & Gynecology | 844 Kempsville Rd, Ste 208, Norfolk, VA 23502-3927 | 2005-07-13 |
| 1528449790 | Thomas Jonathan Jackson Duncan | Physician Assistant | 844 Kempsville Rd, Norfolk, VA 23502-3927 | 2015-06-14 |
| 1487056115 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 844 Kempsville Rd, Ste 104, Norfolk, VA 23502-3927 | 2014-09-25 |
| 1306264536 | Meghan Caroline Leightner | Physician Assistant | 844 Kempsville Rd, Suite 204, Norfolk, VA 23502-3927 | 2014-04-04 |
| 1013351485 | Katherine A Woodward | Physician Assistant | 844 Kempsville Rd, Ste 204, Norfolk, VA 23502-3927 | 2013-04-29 |
| 1619263704 | Lauren Madey Dean | Physician Assistant | 844 Kempsville Rd, Ste 204, Norfolk, VA 23502-3927 | 2011-06-27 |
| 1366752966 | Sentara Medical Group | Internal Medicine | 844 Kempsville Rd, Suite 103b, Norfolk, VA 23502-3927 | 2010-10-15 |
| 1306084868 | Sentara Medical Group | Orthopaedic Surgery | 844 Kempsville Rd, Ste 104, Norfolk, VA 23502-3927 | 2009-01-21 |
| 1578719506 | Candice R Keen | Internal Medicine | 844 Kempsville Rd, Suite 204, Norfolk, VA 23502-3927 | 2008-08-11 |
| 1811189772 | Siobhan Bertolino | Specialist | 844 Kempsville Rd, Suite 208, Norfolk, VA 23502-3927 | 2007-08-15 |
| Find all providers in the same location | ||||
| 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 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 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 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1669743134 | Integrative Cardiovascular Institute LLC | Internal Medicine | 129 W Virginia Beach Blvd, Suite 110, Norfolk, VA 23510-2030 | 2012-01-15 |
| 1326376856 | Herbert M Brewer, M.d, Inc | Internal Medicine | 400 Gresham Dr Ste 205, Norfolk, VA 23507-1901 | 2009-11-20 |
| 1578796207 | Krishna Naag Velagapudi | Internal Medicine | 110 N 29th St Ste 301, Norfolk, NE 68701-4466 | 2009-08-28 |
| 1316182835 | Bon Secours Depaul Medical Center Inc | Internal Medicine | 100 Kingsley Ln Ste 400, Norfolk, VA 23505-4604 | 2008-12-12 |
| 1124070693 | Mohit Bhasin | Internal Medicine | 400 Gresham Dr Ste 100, Norfolk, VA 23507-1901 | 2006-05-16 |
| 1215902697 | Harry Lee Kanter | Internal Medicine | 6275 E Virginia Beach Blvd Ste 200, Norfolk, VA 23502-2851 | 2006-02-21 |
| 1538133244 | Martin Joseph Goldberg | Internal Medicine | 301 Riverview Ave Ste 700, Norfolk, VA 23510-1065 | 2006-02-17 |
| 1538130034 | Robert C Bernstein | Internal Medicine | 844 Kempsville Rd Ste 204, Norfolk, VA 23502-3927 | 2006-02-01 |
| 1871594150 | David Alan Baran | Internal Medicine | 600 Gresham Drive, Norfolk, VA 23507 | 2005-08-09 |
| 1366440794 | Mohamad R El-zaru | Internal Medicine | 31 Pine St, Norfolk, MA 02056-1642 | 2005-07-11 |
| Find all providers in NORFOLK | ||||
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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.