Sentara Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SENTARA MEDICAL GROUP

Doing business as

Sentara Internal Medicine Physicians

Practice address

4374 New Town Ave
Ste 102
Williamsburg, VA 23188-2688

Phone

(757) 984-6170

Fax

(757) 259-6794

NPI assigned

Mar 26, 2007

Last updated

Feb 14, 2017By the provider in NPPES

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) 252-2765

Specialties & licenses 2

Addresses

Other names 1

• Sentara Internal 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": "1487030400000",
    "number": "1104944529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4374 NEW TOWN AVE",
            "address_2": "STE 102",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882688",
            "telephone_number": "757-984-6170",
            "fax_number": "757-259-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4374 NEW TOWN AVE",
            "address_2": "STE 102",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882688",
            "telephone_number": "757-984-6170",
            "fax_number": "757-259-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2017-02-14",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal 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 Internal Medicine Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sentara Enterprises
• Sentara Hospitals
• Sentara Hospitals (Sentara Williamsburg Regional Medical Center)
• Sentara Hospitals (Sentara Williamsburg Regional Medical Center)
• Sentara Medical Group (Sentara Pulmonary & Critical Care Specialists)
• Sentara Medical Group (Sentara Vascular Specialists)
• Sentara Medical Group (Sentara Orthopedic & Sports Medicine Specialists)
• Sentara Medical Group (Sentara Division of Hospital Medicine - Williamsburg)
• Sentara Medical Group (Urology Of Virginia-Williamsburg)
• Sentara Medical Group (Sentara Internal Medicine Physicians)

• Internal Medicine Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.