SENTARA MEDICAL GROUP


Address: 850 Kempsville Rd, Suite 100d, Norfolk, VA 23502-3920
Phone: 7572615944

SENTARA MEDICAL GROUP (NPI# 1760792360) 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) 1760792360
Entity Type Organization
Organization Name SENTARA MEDICAL GROUP
Other Organization Name SENTARA DERMATOLOGY SPECIALISTS
Practice Address 850 Kempsville Rd
Suite 100d
Norfolk
VA 23502-3920
Practice Telephone 7572615944
Practice Fax Number 7572610026
Mailing Telephone 7572615944
Mailing Fax Number 7572610026
Enumeration Date 2010-10-15
Last Update Date 2013-06-12
Authorized Official Name MRS. CINDY A TAYLOR (MANAGER)
Authorized Official Telephone 7572523344
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Sentara Dermatology Specialists Doing Business As Name - Organization

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
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

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 850 KEMPSVILLE RD
SUITE 100D
City NORFOLK
State VA
Zip Code 23502-3920

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508850207 Barbara A Morrison Physician Assistant 850 Kempsville Rd, Suite 200a, Norfolk, VA 23502-3920 2005-09-08
1326589599 Arielle Frances Iley Physician Assistant 850 Kempsville Rd, Norfolk, VA 23502-3920 2017-03-20
1265772032 Catherine J Wooton Physician Assistant 850 Kempsville Rd, Sentara Pulmonary Specialists, Norfolk, VA 23502-3920 2013-02-15
1487916631 Lisa L Murray Nurse Practitioner 850 Kempsville Rd, Ste. 100g, Norfolk, VA 23502-3920 2012-06-13
1346524816 Sentara Medical Group Internal Medicine 850 Kempsville Rd, Ste 100f, Norfolk, VA 23502-3920 2011-10-03
1902116502 Sentara Medical Group Internal Medicine 850 Kempsville Rd, Suite 212, Norfolk, VA 23502-3920 2010-10-15
1376853978 Sentara Medical Group Durable Medical Equipment & Medical Supplies 850 Kempsville Rd, Suite 200a, Norfolk, VA 23502-3920 2010-10-15
1912217514 Sentara Medical Group Internal Medicine 850 Kempsville Rd, Suite 100f, Norfolk, VA 23502-3920 2010-10-15
1740590348 Sentara Medical Group Internal Medicine 850 Kempsville Rd, Suite 100e, Norfolk, VA 23502-3920 2010-10-15
1013227610 Sentara Medical Group Durable Medical Equipment & Medical Supplies 850 Kempsville Rd, Suite 100c, Norfolk, VA 23502-3920 2010-10-15
Find all providers in the same location

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
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 Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932582467 Anh Khoa Pham Dermatology 850 Kempsville Rd Ste 100d, Norfolk, VA 23502-3920 2015-07-01
1801238472 Integrated Dermatology of Tidewater LLC Dermatology 885 Kempsville Rd Ste 309, Norfolk, VA 23502-3800 2013-07-24
1144575473 Kmn Dermatology & Aesthetics PC Dermatology 146 Main St, Ste 2b, Norfolk, MA 02056-1322 2012-07-24
1326363292 Bruce Daniel Bauer Dermatology 6160 Kempsville Cir Ste 200a, Norfolk, VA 23502-3945 2010-04-02
1164495115 Brian L Johnson Dermatology 5630 Lowery Rd, Norfolk, VA 23502-2233 2006-02-09
1003887118 Evms Academic Physicians and Surgeons Health Services Foundation Dermatology 4111 Monarch Way, Suite 500, Norfolk, VA 23508-2559 2006-01-27
1184076796 Robert James Smith Dermatology 721 Fairfax Ave Ste 200, Norfolk, VA 23507-2007 2016-07-07
1912351032 Andrew Raul Villanueva Dermatology 721 Fairfax Ave Ste 200, Norfolk, VA 23507-2007 2016-04-14
1760845986 Adelaida Gyurjyan-bunch Dermatology 6160 Kempsville Cir Ste 200a, Norfolk, VA 23502-3945 2016-04-04
1780932129 Natalia Mendoza Dermatology 6160 Kempsville Cir Ste 200a, Norfolk, VA 23502-3945 2012-08-15
Find all providers in NORFOLK

Competitor

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City NORFOLK
Zip Code 23502

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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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