NPIMap

Organization Active NPI

Sentara Medical Group

Doing business as Urology of Virginia

  • Urology Physician
  • Virginia Beach, VA
National Provider Identifier
1114107729
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
SENTARA MEDICAL GROUP
Doing business as
Urology of Virginia
Practice address
1200 First Colonial Rd
Ste 100G
Virginia Beach, VA 23454-2207
Phone
(757) 481-3556
Fax
(757) 496-3865
NPI assigned
Nov 12, 2007
Last updated
Feb 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Cindy A Taylor
Title
Credentialing Manager
Phone
(757) 687-1076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

1200 First Colonial Rd
Ste 100G
Virginia Beach, VA 23454-2207

Mailing address

PO Box 2502
Norfolk, VA 23501-2502
Phone (757) 481-3556

Other names 1

  • Urology of Virginia Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1114107729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2502",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235012502",
            "telephone_number": "757-481-3556",
            "fax_number": "757-496-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 FIRST COLONIAL RD",
            "address_2": "STE 100G",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542207",
            "telephone_number": "757-481-3556",
            "fax_number": "757-496-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "757-687-1076"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urology of Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.