SENTARA MEDICAL GROUP (NPI# 1790053965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790053965 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA INTERNAL MEDICINE PHYSICIANS |
| Practice Address |
2280 Opitz Blvd Ste 250 Woodbridge VA 22191-3362 |
| Practice Telephone | 7035231720 |
| Practice Fax Number | 8552102389 |
| Mailing Telephone | 7035231720 |
| Mailing Fax Number | 8552102389 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2016-03-17 |
| Authorized Official Name | MRS. CINDY A TAYLOR (MANAGER) |
| Authorized Official Telephone | 7572522765 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP NUMBER | C02033 | 01 |
| Other Name | Type Code |
|---|---|
| Sentara Internal Medicine Physicians | 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 250 |
| 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 |
| 1710304027 | Sentara Medical Group | Surgery | 2280 Opitz Blvd, Ste 110, Woodbridge, VA 22191-3362 | 2014-03-25 |
| 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 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1134740921 | Medi Health LLC | Internal Medicine | 14904 Jefferson Davis Hwy Ste 202, Woodbridge, VA 22191-3908 | 2020-05-03 |
| 1104203025 | Doctor Omar Awan | Internal Medicine | 850b Woodbridge Center Dr, Woodbridge, NJ 07095-1324 | 2015-04-29 |
| 1932530953 | Gaurav Purani | Internal Medicine | 11 Woodbridge Ter Apt C, Woodbridge, NJ 07095-4211 | 2013-12-01 |
| 1417381823 | Allen Harvey Heller | Internal Medicine | 6 Hunters Rdg, Woodbridge, CT 06525-1942 | 2013-08-22 |
| 1255688701 | Neha Grover | Internal Medicine | 14904 Jefferson Davis Hwy Ste 306, Woodbridge, VA 22191-3908 | 2012-08-14 |
| 1386907368 | Angeles E Ocson-belleza | Internal Medicine | 34 Prospect Ct, Woodbridge, CT 06525-1509 | 2012-06-24 |
| 1770842908 | Abhay Vivek Aggroia | Internal Medicine | 13168 Kinnicutt Dr, Woodbridge, VA 22192-5601 | 2012-05-08 |
| 1952668303 | Abucar A. Abdulle, Md. PC | Internal Medicine | 14409 Hereford Rd, Woodbridge, VA 22193-2128 | 2012-04-23 |
| 1093071540 | Vijay Grover Md PC | Internal Medicine | 14904 Jefferson Davis Hwy Ste 309, Woodbridge, VA 22191-3908 | 2012-04-10 |
| 1376819243 | Omar Q Awan | Internal Medicine | 42 Highview Dr, Woodbridge, NJ 07095-3904 | 2012-03-26 |
| Find all providers in WOODBRIDGE | ||||
| 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.