SENTARA MEDICAL GROUP (NPI# 1710304027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710304027 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA NEUROLOGY SPECIALISTS |
| Practice Address |
2280 Opitz Blvd Ste 110 Woodbridge VA 22191-3362 |
| Practice Telephone | 0352388807 |
| Practice Fax Number | 7576481954 |
| Mailing Telephone | 7035238880 |
| Mailing Fax Number | 8554621102 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | MRS. DORIS PRINCE (MANAGER) |
| Authorized Official Telephone | 7572522760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| SENTARA NEUROLOGY SPECIALISTS | Doing Business As Name - Organization |
| 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 |
2280 OPITZ BLVD STE 110 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487653648 | Amy Fordree Varias | Occupational Therapist | 2280 Opitz Blvd, Suite 120, Woodbridge, VA 22191-3362 | 2005-07-20 |
| 1407369374 | Nicole Theresa Layman | Registered Nurse | 2280 Opitz Blvd, Woodbridge, VA 22191-3362 | 2017-11-14 |
| 1235501719 | Lashawna Heflin | Nurse Practitioner | 2280 Opitz Blvd, Woodbridge, VA 22191-3362 | 2015-10-23 |
| 1134559479 | Christina Ruth Parks | Nurse Anesthetist, Certified Registered | 2280 Opitz Blvd, Woodbridge, VA 22191 | 2013-11-23 |
| 1356773048 | Houshang Makipour, Md PC | Specialist | 2280 Opitz Blvd, Suite 200, Woodbridge, VA 22191-3362 | 2013-08-05 |
| 1053680785 | Andre F Feltren | Occupational Therapist | 2280 Opitz Blvd, Suite 120, Woodbridge, VA 22191-3362 | 2011-12-27 |
| 1790053965 | Sentara Medical Group | Internal Medicine | 2280 Opitz Blvd, Ste 250, Woodbridge, VA 22191-3362 | 2011-12-02 |
| 1205118254 | Sentara Medical Group | Surgery | 2280 Opitz Blvd, Ste 320, Woodbridge, VA 22191-3362 | 2011-09-15 |
| 1447530803 | Commonwealth Audiology LLC | Hearing Aid Equipment | 2280 Opitz Blvd, Suite 340, Woodbridge, VA 22191-3362 | 2011-08-17 |
| 1598056095 | Robert Joseph Toomey IIi | Podiatrist | 2280 Opitz Blvd, Suite 230, Woodbridge, VA 22191-3362 | 2011-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295074862 | Jesse M Cedarbaum | Psychiatry & Neurology | 16 Old Barnabas Rd, Woodbridge, CT 06525-1923 | 2013-02-02 |
| 1336365162 | Maher Loutfi | Psychiatry & Neurology | 1958 Opitz Blvd, Woodbridge, VA 22191-3304 | 2007-04-18 |
| 1104912245 | Naurang Singh Gill | Psychiatry & Neurology | 14401 Hereford Rd, Woodbridge, VA 22193 | 2006-10-05 |
| 1396716445 | Aysegul Soyer | Psychiatry & Neurology | 1930 Opitz Boulevard, Woodbridge, VA 22191 | 2006-01-27 |
| 1922522341 | Northern Virginia Neurology, Pllc | Psychiatry & Neurology | 1958 Opitz Blvd, Woodbridge, VA 22191-3304 | 2017-07-27 |
| 1134545775 | Sentara Medical Group | Psychiatry & Neurology | 2296 Opitz Blvd, Ste 290, Woodbridge, VA 22191-3300 | 2014-03-06 |
| 1174829832 | Prince William Neurology Center Inc | Psychiatry & Neurology | 14401 Hereford Rd, Woodbridge, VA 22193-2128 | 2011-01-28 |
| 1902877046 | Neurology Services, Incorporated | Psychiatry & Neurology | 2296 Opitz Blvd, Suite 360, Woodbridge, VA 22191-3300 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1790342285 | Neural Network Pllc | Psychiatry & Neurology | 4660 Kenmore Ave Ste 408, Alexandria, VA 22304-1306 | 2019-05-21 |
| 1497226021 | Virginia Beach Neurology Ltd | Psychiatry & Neurology | 968 First Colonial Rd Ste 103, Virginia Beach, VA 23454-3171 | 2018-12-07 |
| 1750870556 | Evergreen Neurology and Sleep Center | Psychiatry & Neurology | 8609 Sudley Rd Ste 204, Manassas, VA 20110-4500 | 2018-05-07 |
| 1669976221 | Fairfax Family Life Behavioral Health, LLC | Psychiatry & Neurology | Fairfaxpark Office Plaza, 9512 B Lee Highway, Fairfax, VA 22031 | 2018-03-20 |
| 1821599234 | John H. Seok, M.d., P.C. | Psychiatry & Neurology | 3919 Old Lee Hwy Ste 81a, Fairfax, VA 22030-2430 | 2018-02-22 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1023533718 | Riverside Physician Services Inc. | Psychiatry & Neurology | 659 Hospital Rd Ste 101, Tappahannock, VA 22560-7000 | 2017-08-03 |
| 1407306442 | Virginia Hospital Center Physician Group LLC | Psychiatry & Neurology | 1715 N George Mason Dr Ste 409, Arlington, VA 22205-3665 | 2016-10-13 |
| 1144676701 | Andrew Keith Worthington | Psychiatry & Neurology | 4200 Sulgrave Rd, Richmond, VA 23221-3255 | 2016-05-12 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
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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.