SENTARA MEDICAL GROUP (NPI# 1902116502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902116502 |
| Entity Type | Organization |
| Organization Name | SENTARA MEDICAL GROUP |
| Other Organization Name | SENTARA PULMONARY AND CRITICAL CARE SPECIALISTS |
| Practice Address |
850 Kempsville Rd Suite 212 Norfolk VA 23502-3920 |
| Practice Telephone | 7572615977 |
| Practice Fax Number | 7572759913 |
| Mailing Telephone | 7572615977 |
| Mailing Fax Number | 7572759913 |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2017-02-06 |
| 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 |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sentara Pulmonary and Critical Care 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 |
850 KEMPSVILLE RD SUITE 212 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-3920 |
| 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 |
| 1376853978 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 850 Kempsville Rd, Suite 200a, Norfolk, VA 23502-3920 | 2010-10-15 |
| 1760792360 | Sentara Medical Group | Dermatology | 850 Kempsville Rd, Suite 100d, 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 | ||||
| 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 Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1003931981 | Virginia Medical Specialist, Plc | Internal Medicine | 160 Kingsley Ln Ste 103, Norfolk, VA 23505-4600 | 2007-03-20 |
| 1548505035 | Timothy Stephen Fusiak | Internal Medicine | 600 Gresham Dr, Ste 8630b, Norfolk, VA 23507-1904 | 2012-12-10 |
| 1598031312 | Zachary Gales | Internal Medicine | 100 Kingsley Ln Ste 400, Norfolk, VA 23505-4604 | 2012-03-26 |
| 1598051518 | Bon Secours Depaul Medical Center Inc | Internal Medicine | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2011-06-28 |
| 1881899557 | Rutul Shah | Internal Medicine | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2007-06-20 |
| 1467656686 | Fawad Aleem Chaudry | Internal Medicine | 110 N 29th St, Suite 204, Norfolk, NE 68701-4424 | 2007-06-12 |
| 1235255290 | Sherif Omar El Mahdy | Internal Medicine | 600 Gresham Dr, Suite 8630, Norfolk, VA 23507 | 2007-03-21 |
| 1801943782 | Michael H Hooper | Internal Medicine | 855 W Brambleton Ave, Norfolk, VA 23510-1005 | 2007-01-04 |
| 1194819664 | Jeffrey Yale Schnader | Internal Medicine | 825 Fairfax Ave, Suite 445, Norfolk, VA 23507-1914 | 2006-10-02 |
| 1457451437 | Carlos A. Silva | Internal Medicine | 160 Kingsley Ln, Suite 103, Norfolk, VA 23505-4600 | 2006-09-22 |
| Find all providers in NORFOLK | ||||
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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.