SENTARA MEDICAL GROUP (NPI# 1538303185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538303185 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | UROLOGY OF VIRGINIA |
| Practice Address |
800 Independence Blvd Virginia Beach VA 23455-6005 |
| Practice Telephone | 7579831200 |
| Practice Fax Number | 7579831201 |
| Mailing Telephone | 7579831200 |
| Mailing Fax Number | 7579831201 |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-08-14 |
| Authorized Official Name | ARRIE P HINES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7572523339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Urology of Virginia | 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 |
800 INDEPENDENCE BLVD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23455-6005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487644795 | Sentara Life Care Corporation | Pharmacy | 800 Independence Blvd, Suite 100, Virginia Beach, VA 23455-6005 | 2005-10-27 |
| 1497248892 | Sapa Truong | Physician Assistant | 800 Independence Blvd, Virginia Beach, VA 23455-6011 | 2018-06-11 |
| 1770099616 | Marquel Saunders Price | Pharmacist | 800 Independence Blvd, Virginia Beach, VA 23455-6011 | 2017-12-14 |
| 1598292211 | Emily Bosch | Nurse Practitioner | 800 Independence Blvd, Virginia Beach, VA 23455-6011 | 2017-05-12 |
| 1447306337 | Deborah Ward Squibb | Pharmacist | 800 Independence Blvd, Virginia Beach, VA 23455-6005 | 2007-01-25 |
| 1932202306 | Leonid Stepanov | Anesthesiology | 800 Independence Blvd, Virginia Beach, VA 23455 | 2006-09-07 |
| 1699711515 | James S Oleksa | Anesthesiology | 800 Independence Blvd, Virginia Beach, VA 23455 | 2006-06-20 |
| 1972558674 | Robert E Houston | Anesthesiology | 800 Independence Blvd, Virginia Beach, VA 23455-6005 | 2006-05-23 |
| 1811942428 | Matthew P Chow | Anesthesiology | 800 Independence Blvd, Virginia Beach, VA 23455 | 2006-05-23 |
| 1326013467 | Guy D Whitaker IIi | Anesthesiology | 800 Independence Blvd, Virginia Beach, VA 23455 | 2006-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324162 | Evoscient Gynecology Center for Pelvic Health and Surgery, PC | Obstetrics & Gynecology | 108 Independence Blvd, Suite 162, Virginia Beach, VA 23455 | 2020-07-24 |
| 1942728571 | Delois L Dillard | Occupational Therapy Assistant | 4225 Shore Drive, Virginia Beach, VA 23455 | 2017-09-04 |
| 1295255404 | Unobs Medical Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5812 Tajo Avenue, Virginia Beach, VA 23455 | 2017-06-20 |
| 1831640812 | Wearefit | Dietitian, Registered | 4752 Hollis Road, Virginia Beach, VA 23455 | 2016-10-14 |
| 1629496633 | Jamie Lauren Dermatis | Podiatrist | 1700 Pleasure Road, #101, Virginia Beach, VA 23455 | 2014-04-07 |
| 1619304664 | Syed A Absar | Pharmacist | 4828 Lake Bradford Lane, Virginia Beach, VA 23455 | 2013-10-07 |
| 1851734958 | Cara K Richardson | Occupational Therapist | 2364 Madison Ave., Virginia Beach, VA 23455 | 2013-04-09 |
| 1811249287 | Chl & Associates | Nurse Practitioner | 1367 Sir Richard Rd, Virginia Beach, VA 23455 | 2012-10-10 |
| 1588915425 | Edward S Wilson | Physician Assistant | 604 Bishop Dr, Virginia Beach, VA 23455 | 2012-10-01 |
| 1073886842 | April Gilbrech | Registered Nurse | 1103 Canopy Ct, Virginia Beach, VA 23455 | 2012-02-09 |
| Find all providers in zip 23455 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013146851 | William Vernon Tynes II | Urology | 2910 S Lynnhaven Road, Suite 170, Virginia Beach, VA 23452-8506 | 2009-07-14 |
| 1437266129 | Steven Scott Warden | Urology | 1004 1st Colonial Rd, Suite 101, Virginia Beach, VA 23454 | 2006-08-25 |
| 1174527113 | Bruce A Rosenfeld | Urology | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2005-06-08 |
| 1447513353 | Ilya J. Sobol | Urology | 225 Clearfield Ave, Virginia Beach, VA 23462 | 2012-06-18 |
| 1366732661 | Ramon Virasoro | Urology | 225 Clearfield Ave, Urology of Virginia, Virginia Beach, VA 23462-1815 | 2011-04-08 |
| 1295058394 | Michael Brandon Williams | Urology | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2010-03-04 |
| 1063747228 | Sentara Medical Group | Urology | 1925 Glenn Mitchell Dr, Suite 202, Virginia Beach, VA 23456-0170 | 2009-10-06 |
| 1205060902 | Joshua Langston | Urology | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2009-05-08 |
| 1568605244 | Douglas Craig Kelly | Urology | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2009-04-11 |
| 1770720815 | Frances Marian Martin | Urology | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2009-01-12 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23455 |
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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.