Sentara Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SENTARA MEDICAL GROUP

Doing business as

Sentara Family Medicine Physicians

Practice address

109 Railroad Ave
Wakefield, VA 23888-2747

Phone

(757) 899-3521

Fax

(757) 899-7104

NPI assigned

Mar 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Cindy A Taylor

Title

Manager

Phone

(757) 252-3344

Specialties & licenses 2

Addresses

Other names 1

• Sentara Family Medicine Physicians Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1013035435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 RAILROAD AVE",
            "city": "WAKEFIELD",
            "state": "VA",
            "postal_code": "238882747",
            "telephone_number": "757-899-3521",
            "fax_number": "757-899-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 RAILROAD AVE",
            "city": "WAKEFIELD",
            "state": "VA",
            "postal_code": "238882747",
            "telephone_number": "757-899-3521",
            "fax_number": "757-899-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "757-252-3344",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Family Medicine Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Russell Alan Garner, RPH
• Lisa V Hawkins
• Jennifer Clark Jones, CERTIFIED HAIR LOSS
• Obici Medical Management Services, Inc. (Wakefield Medical Center)
• Sharon Dale Rogers, PH.D., ATC
• Emanuel Montez Waddell
• Wakefield Pharmacy Inc (Wakefield Pharmacy)
• Carrie S Wiggins, FNPC

• Family Medicine Physician in Wakefield, VA
• Providers in Wakefield, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.