Organization Active NPI

Sentara Medical Group

Doing business as Sentara Family Medicine Physicians

  • Family Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1023109170
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SENTARA MEDICAL GROUP
Doing business as
Sentara Family Medicine Physicians
Practice address
633 Battlefield Blvd S
Suite 300
Chesapeake, VA 23322-4800
Phone
(757) 233-4700
Fax
(757) 233-4716
NPI assigned
Sep 27, 2006
Last updated
Oct 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

633 Battlefield Blvd S
Suite 300
Chesapeake, VA 23322-4800

Mailing address

633 Battlefield Blvd S
Suite 300
Chesapeake, VA 23322-4800
Phone (757) 233-4700

Other names 1

  • Sentara Family Medicine Physicians Doing business as

National Provider Directory

National Provider Directory

Locations

633 Battlefield Blvd S
Ste 300
Chesapeake, VA 23322
Phone (757) 233-4700

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1023109170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 BATTLEFIELD BLVD S",
            "address_2": "SUITE 300",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224800",
            "telephone_number": "757-233-4700",
            "fax_number": "757-233-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 BATTLEFIELD BLVD S",
            "address_2": "SUITE 300",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224800",
            "telephone_number": "757-233-4700",
            "fax_number": "757-233-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-10-04",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Family Medicine Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.