NPIMap

Organization Active NPI

Sentara Medical Group

Doing business as Personalized Family Medicine

  • Durable Medical Equipment & Medical Supplies
  • Norfolk, VA
National Provider Identifier
1104830439
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SENTARA MEDICAL GROUP
Doing business as
Personalized Family Medicine
Practice address
6161 Kempsville Cir
Suite 215
Norfolk, VA 23502-3932
Phone
(757) 466-3950
Fax
(757) 466-4486
NPI assigned
Jul 29, 2006
Last updated
May 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Cindy A Taylor
Title
Manager
Phone
(757) 252-2765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6161 Kempsville Cir
Suite 215
Norfolk, VA 23502-3932

Mailing address

6161 Kempsville Cir
Suite 215
Norfolk, VA 23502-3932
Phone (757) 466-3950

Other names 1

  • Personalized Family Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Consultants in Int Medi188 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1104830439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 KEMPSVILLE CIR",
            "address_2": "SUITE 215",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023932",
            "telephone_number": "757-466-3950",
            "fax_number": "757-466-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 KEMPSVILLE CIR",
            "address_2": "SUITE 215",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023932",
            "telephone_number": "757-466-3950",
            "fax_number": "757-466-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2016-05-23",
        "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": "757-252-2765"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personalized Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.