SENTARA MEDICAL GROUP (NPI# 1851699227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851699227 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | DOMINION FAMILY HEALTH |
| Practice Address |
1936 Opitz Blvd Ste A Woodbridge VA 22191-3360 |
| Practice Telephone | 7034917744 |
| Practice Fax Number | 7034921046 |
| Mailing Telephone | 7034917744 |
| Mailing Fax Number | 7034921046 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2013-05-22 |
| 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 |
|---|---|---|---|---|---|
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dominion Family Health | 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 |
1936 OPITZ BLVD STE A |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727357 | Elena Igorevna Sutphin | Physical Medicine & Rehabilitation | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2020-10-09 |
| 1558978882 | Adrienne N. Durante | Occupational Therapy Assistant | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2020-09-30 |
| 1568078426 | Sarah Davis | Speech-Language Pathologist | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2020-09-16 |
| 1184240467 | Sindhura Chennupati | Speech-Language Pathologist | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2020-06-22 |
| 1790264091 | Mayree Margaret Sheffield | Occupational Therapist | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2018-08-08 |
| 1952827735 | Joyce Ann Barry | Occupational Therapist | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2017-08-14 |
| 1194190421 | Rachel Melissa Fama | Physical Therapy Assistant | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2015-12-11 |
| 1851773824 | Tina Francis | Occupational Therapy Assistant | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2015-06-25 |
| 1205104957 | Pamela Michelle Crecca | Speech-Language Pathologist | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2011-12-09 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615168 | Well Health Medical Practice | Family Medicine | 676 Amboy Ave Ste 4, Woodbridge, NJ 07095-3144 | 2020-10-01 |
| 1700441326 | Cavery Health Clinic | Family Medicine | 14330 Gideon Dr Ste B, Woodbridge, VA 22192-4640 | 2019-05-08 |
| 1427411594 | Havya Dave | Family Medicine | 2280 Opitz Blvd Ste 250, Woodbridge, VA 22191-3362 | 2016-04-05 |
| 1548634678 | Family Medical Center Holding LLC | Family Medicine | 14904 Jefferson Davis Hwy Ste 205, Woodbridge, VA 22191-3908 | 2015-12-01 |
| 1932549128 | Matthew Richard Kereliuk | Family Medicine | 205 Marycroft Ave., Woodbridge, ONTARIO L4L 5X8 | 2013-07-02 |
| 1760798797 | Naresh J. Patel | Family Medicine | 118 Roanoke St, Woodbridge, NJ 07095-2549 | 2010-08-27 |
| 1003058538 | Zahir Zoe Jimenez-tosado | Family Medicine | 4379 Ridgewood Center Drive, #102, Woodbridge, VA 22192-8322 | 2009-03-30 |
| 1487817466 | Chantal D Lewis | Family Medicine | 3122 Golansky Blvd Ste 101, Woodbridge, VA 22192-4267 | 2008-07-09 |
| 1740443183 | Millenium Medical Corp | Family Medicine | 13168 Centerpointe Way Ste 101, Woodbridge, VA 22193-5287 | 2008-07-07 |
| 1376700500 | Christina Bauer | Family Medicine | 12480 Dillingham Sq, Woodbridge, VA 22192-5258 | 2008-05-16 |
| 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.