Active NPI
Sentara Medical Group
- Urology Physician
- Suffolk, VA
National Provider Identifier
1114175304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- SENTARA MEDICAL GROUP
- Practice address
- 2000 Meade Pkwy
Suffolk, VA 23434-4259 - Phone
- (757) 934-9300
- NPI assigned
- Sep 3, 2008
- 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
- Arrie P Hines
- Title
- Credentialing Manager
- Phone
- (757) 252-3292
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
2000 Meade Pkwy
Suffolk, VA 23434-4259
Mailing address
2000 Meade Pkwy
Suffolk, VA 23434-4259
Phone (757) 934-9300
Other names 1
- Urology of Virginia
National Provider Directory
National Provider DirectoryLocations
2000 Meade Pkwy
Suffolk, VA 23434
Phone (757) 539-0251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235001600000",
"number": "1114175304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 MEADE PKWY",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234344259",
"telephone_number": "757-934-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MEADE PKWY",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234344259",
"telephone_number": "757-934-9300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENTARA MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-03",
"last_updated": "2009-02-19",
"status": "A",
"authorized_official_last_name": "HINES",
"authorized_official_first_name": "ARRIE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "757-252-3292"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Urology of Virginia",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.