SENTARA MEDICAL GROUP (NPI# 1861657918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861657918 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA VASCULAR SPECIALISTS |
| Practice Address |
1051 Loftis Blvd Ste 205 Newport News VA 23606-2981 |
| Practice Telephone | 7577369302 |
| Practice Fax Number | 7575109117 |
| Mailing Telephone | 7577369302 |
| Mailing Fax Number | 7575109117 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2011-11-28 |
| 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 | 2086S0129X |
Surgery Specialization: Vascular Surgery |
VA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sentara Vascular 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 |
1051 LOFTIS BLVD STE 205 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23606-2981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851396618 | Elizabeth A Harden | Specialist | 1051 Loftis Blvd, Suite 100, Newport News, VA 23606-3069 | 2005-06-17 |
| 1194274415 | Kimberly A Dias | Nurse Practitioner | 1051 Loftis Blvd, Suite 100, Newport News, VA 23606-3069 | 2016-09-28 |
| 1255885612 | Chamia Maker | Nurse Practitioner | 1051 Loftis Blvd, Suite 100, Newport News, VA 23606-3069 | 2016-08-15 |
| 1073941738 | Virginia Oncology Associates | Non-Pharmacy Dispensing Site | 1051 Loftis Blvd, Suite 100, Newport News, VA 23606-3069 | 2013-10-16 |
| 1033427588 | Andrea Marie Edwards | Physician Assistant | 1051 Loftis Blvd, Suite 100, Newport News, VA 23606-3069 | 2010-09-17 |
| 1326379249 | Ligeng Tian | Internal Medicine | 1051 Loftis Blvd, Suite 100, Newport News, VA 23606-3069 | 2010-01-15 |
| 1982718078 | David Z. Chang | Internal Medicine | 1051 Loftis Blvd, Suite 100, Newport News, VA 23606-2981 | 2006-08-18 |
| 1245237296 | Ronald J Ruszkowski | Specialist | 1051 Loftis Blvd, Suite 100, Newport News, VA 23606-3069 | 2005-07-06 |
| 1598760274 | John F Kessler | Specialist | 1051 Loftis Blvd, Suite 100, Newport News, VA 23606-3069 | 2005-06-17 |
| 1164427993 | Bruce W Booth | Internal Medicine | 1051 Loftis Blvd, Suite 100, Newport News, VA 23606-3069 | 2005-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
| 1457907453 | Children of The Kingdom Home Health Care Services LLC | Home Health | 11834 Cannon Blvd., Ste I-4, Newport News, VA 23606 | 2019-08-15 |
| 1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
| 1447732870 | Jean Ann Kimbrel | Counselor | 105 Nat Turner Blvd, Newport News, VA 23606 | 2018-09-01 |
| 1649762816 | Paige Tretter | Physical Therapist | Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 | 2018-06-04 |
| 1447753959 | Milov Margaret Sonnier | Social Worker | 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 | 2018-03-10 |
| 1033627740 | F&n Home Health Agency, LLC | Home Health | 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 | 2018-01-16 |
| 1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
| 1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
| 1982043345 | Kreative Milestones Behavioral Healthcare Services | Clinic/Center | 12388 Warwick Blvd Ste 306, Newport News, VA 23606 | 2013-06-19 |
| Find all providers in zip 23606 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629586417 | Sentara Medical Group | Surgery | 1051 Loftis Blvd Ste 210, Newport News, VA 23606-3069 | 2018-01-16 |
| 1972980761 | Carlos Jose Torres-medina | Surgery | 500 J Clyde Morris Blvd # 603, Newport News, VA 23601-1929 | 2015-04-30 |
| 1740421049 | Djurabek Babadjanov | Surgery | 500 J Clyde Morris Blvd Ste 603, Newport News, VA 23601-1929 | 2009-03-16 |
| 1821259706 | Jason Lionel Andre | Surgery | 12720 Mcmanus Blvd Ste 303, Newport News, VA 23602-4414 | 2008-06-23 |
| 1992769459 | Joseph John Piotrowski | Surgery | 500 J Clyde Morris Blvd Ste 306, Newport News, VA 23601 | 2006-04-13 |
| 1689047979 | Mary Immaculate Hospital | Surgery | 12720 Mcmanus Blvd, Suite 203, Newport News, VA 23602-4414 | 2015-11-09 |
| 1447679782 | Sathish Mohan | Surgery | 500 J Clyde Morris Blvd Ste 603, Newport News, VA 23601 | 2014-04-15 |
| 1962709048 | Hancock Vein & Surgical Center PC | Surgery | 603 Pilot House Dr, Ste 240, Newport News, VA 23606 | 2011-02-25 |
| 1962719666 | Mary Immaculate Hospital | Surgery | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2010-09-02 |
| 1952613838 | Ernest Francis Zichal | Surgery | 500 J Clyde Morris Blvd, Suite 603, Newport News, VA 23601-1929 | 2010-07-08 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23606 |
Please comment or provide details below to improve the information on SENTARA MEDICAL GROUP.
| 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.