Active NPI
Sentara Medical Group
- Internal Medicine Physician
- Moyock, NC
National Provider Identifier
1104043264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SENTARA MEDICAL GROUP
- Practice address
- 534 Caratoke Hwy
Moyock, NC 27958-8740 - Phone
- (252) 435-6621
- Fax
- (252) 435-2685
- NPI assigned
- Apr 19, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
534 Caratoke Hwy
Moyock, NC 27958-8740
Mailing address
534 Caratoke Hwy
Moyock, NC 27958-8740
Phone (252) 435-6621
Other names 1
- Currituck Internal Medicine & General Practice
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316476800000",
"number": "1104043264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 CARATOKE HWY",
"city": "MOYOCK",
"state": "NC",
"postal_code": "279588740",
"telephone_number": "252-435-6621",
"fax_number": "252-435-2685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 CARATOKE HWY",
"city": "MOYOCK",
"state": "NC",
"postal_code": "279588740",
"telephone_number": "252-435-6621",
"fax_number": "252-435-2685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENTARA MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-19",
"last_updated": "2011-09-20",
"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": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Currituck Internal Medicine & General Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Moyock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.