SENTARA MEDICAL GROUP (NPI# 1538450945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538450945 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA SURGERY SPECIALISTS |
| Practice Address |
612 Kingsborough Sq Suite 300a Chesapeake VA 23320-5041 |
| Practice Telephone | 7573956070 |
| Mailing Telephone | 7573956070 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-11-28 |
| 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 |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Surgery 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 |
612 KINGSBOROUGH SQ SUITE 300A |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-5041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760483325 | Kurt Frederick Strosahl | Internal Medicine | 612 Kingsborough Sq, Suite 100, Chesapeake, VA 23320-5041 | 2005-08-04 |
| 1861945164 | Renee L Mitchell | Nurse Practitioner | 612 Kingsborough Sq, Ste 100, Chesapeake, VA 23320-5041 | 2016-08-03 |
| 1164898508 | Chelsea E. Christensen | Physician Assistant | 612 Kingsborough Sq, Ste 100, Chesapeake, VA 23320-5041 | 2015-08-20 |
| 1013300128 | Osborne Orthopedic Group, Inc | Non-Pharmacy Dispensing Site | 612 Kingsborough Sq, Suite 202, Chesapeake, VA 23320-5041 | 2015-03-13 |
| 1720492804 | Sarah Christine Harter | Physician Assistant | 612 Kingsborough Sq, Ste 100, Chesapeake, VA 23320-5041 | 2014-06-17 |
| 1124308507 | Diaz Foot & Ankle Center Pllc | Podiatrist | 612 Kingsborough Sq, Suite 202, Chesapeake, VA 23320-5041 | 2011-08-17 |
| 1164733580 | Gwendolyn Lavonne Riddick | Obstetrics & Gynecology | 612 Kingsborough Sq, Suite 200, Chesapeake, VA 23320-5041 | 2010-06-30 |
| 1679769202 | Michael Lucas Gambill | Internal Medicine | 612 Kingsborough Sq, Ste 100, Chesapeake, VA 23320-5041 | 2007-09-18 |
| 1609993963 | Anjan Chakrabarti | Internal Medicine | 612 Kingsborough Sq, Suite 100, Chesapeake, VA 23320-5041 | 2007-03-23 |
| 1902959927 | Nichole D Arthur | Physician Assistant | 612 Kingsborough Sq, Suite 200, Chesapeake, VA 23320-5041 | 2007-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720479504 | Affinity Healthcare Group LLC | Surgery | 3356 Western Branch Blvd, #f, Chesapeake, VA 23321-5138 | 2015-02-14 |
| 1265669568 | Henry Patterson | Surgery | 624 Wickwood Dr, Chesapeake, VA 23322-5875 | 2009-06-15 |
| 1720226285 | Warren Irving Hercules | Surgery | 400 Albemarle Dr, Chesapeake, VA 23322-5504 | 2009-01-21 |
| 1700968203 | Greenbrier Surgical Associates PC | Surgery | 2147 Old Greebrier Rd, Chesapeake, VA 23320 | 2006-10-20 |
| 1972695872 | John Kabzeel Yesudas Chacko | Surgery | 3212 Churchland Boulevard, Suite 8, Chesapeake, VA 23321-5206 | 2006-09-28 |
| 1619073582 | Juan Murillo Montero II | Surgery | 524 Woodards Ford Rd, Chesapeake, VA 23322-4341 | 2006-09-16 |
| 1982630307 | Ivor Purchas | Surgery | 2537 Lakewood Ln, Chesapeake, VA 23321-3703 | 2006-06-25 |
| 1770519381 | Tidewater Surgical Specialists, Pllc | Surgery | 3205 Churchland Blvd, Chesapeake, VA 23321-5262 | 2006-06-24 |
| 1013960814 | Mohib N I Ghobrial | Surgery | 109c Wimbledon Square, Chesapeake, VA 23320 | 2006-05-19 |
| 1083688972 | Robert Joseph Chastanet | Surgery | Chesapeake Weight Loss, 221 Mt. Pleasant Road, Chesapeake, VA 23322 | 2006-02-15 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
Please comment or provide details below to improve the information on SENTARA MEDICAL GROUP.
| 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.