SENTARA MEDICAL GROUP (NPI# 1821320763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821320763 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA SURGERY SPECIALISTS |
| Practice Address |
4000 Coliseum Dr Suite 280 Hampton VA 23666-5906 |
| Practice Telephone | 7579849890 |
| Practice Fax Number | 7573456659 |
| Mailing Telephone | 7579849890 |
| Mailing Fax Number | 7573456659 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2011-12-02 |
| 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 | 2086X0206X |
Surgery Specialization: Surgical Oncology |
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 |
4000 COLISEUM DR SUITE 280 |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-5906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205834157 | Arthur David Greene | Orthopaedic Surgery | 4000 Coliseum Dr, Suite 100, Hampton, VA 23666-5906 | 2005-07-13 |
| 1720619604 | Maria C Holmes | Registered Nurse | 4000 Coliseum Dr, Hampton, VA 23666-5906 | 2020-01-30 |
| 1598129108 | Rebekah Testa | Physician Assistant | 4000 Coliseum Dr, Hampton, VA 23666-5906 | 2016-04-09 |
| 1770961237 | Sentara Medical Group | Internal Medicine | 4000 Coliseum Dr, Ste 310, Hampton, VA 23666-5906 | 2015-05-15 |
| 1881935955 | Deborah Minnis | Audiologist | 4000 Coliseum Dr, Suite 120, Hampton, VA 23666-5906 | 2013-03-14 |
| 1750639605 | Beatrice Veronica Mclaughlin | Nurse Practitioner | 4000 Coliseum Dr, Suite 445, Hampton, VA 23666-5906 | 2012-08-27 |
| 1811257132 | Sentara Medical Group | Internal Medicine | 4000 Coliseum Dr, Ste 100, Hampton, VA 23666-5906 | 2012-05-21 |
| 1942568795 | Tara Nicolette | Internal Medicine | 4000 Coliseum Dr, Suite 345, Hampton, VA 23666-5906 | 2012-04-30 |
| 1013294834 | Urology of Virginia, Pllc | Urology | 4000 Coliseum Dr, Suite 300, Hampton, VA 23666-5906 | 2011-11-08 |
| 1720398761 | Peninsula Cosmetic & Reconstructive Surgery Inc | Plastic Surgery | 4000 Coliseum Dr, Suite 110, Hampton, VA 23666-5906 | 2010-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770976078 | John Edward Niederhuber | Surgery | 3300 Gallows Road; Floor 2, Claude Moore Bldg., Inova Health Care Services; Dba Inova Fairfax Hospital, Falls Church, VA 22042 | 2015-03-11 |
| 1013341171 | Surgical Support Services LLC | Surgery | 12439 Walnut Hill Drive, Rockville, VA 23146 | 2013-08-26 |
| 1477687283 | Craig L. Slingluff Jr. | Surgery | Uva Hospital West The Cancer Ctr, Hospital Drive, Charlottesville, VA 22908-0001 | 2007-03-15 |
| 1881763423 | Anneke T. Schroen | Surgery | 1300 Jefferson Park Ave Ste 1101, Charlottesville, VA 22903-3363 | 2006-11-07 |
| 1669436044 | Michael Anthony Covelli | Surgery | 200 Arh Ln 102, Low Moor, VA 24457 | 2006-04-13 |
| 1104801844 | Theresa Harrington Stukus | Surgery | 8318 Arlington Blvd Ste 305, Fairfax, VA 22031-5218 | 2005-12-14 |
| 1619976792 | Shawna Willey | Surgery | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2005-07-20 |
| 1508240797 | Nathan James Branson | Surgery | 11803 Jefferson Ave, Ste 235, Newport News, VA 23606-2565 | 2015-07-17 |
| 1396083721 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Surgery | 5855 Bremo Rd, Suite 606, Richmond, VA 23226-1930 | 2013-01-18 |
| 1033426150 | Marybeth Scavone Hughes | Surgery | 825 Fairfax Ave, Ste 610, Norfolk, VA 23507-1914 | 2010-09-10 |
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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.