NPIMap

Sentara Medical Group

Organization Active NPI Cardiovascular Disease Physician · Nassawadox, VA

NPI 1174883474 · NPPES record last updated May 21, 2012

Key facts

NPI
1174883474
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
Legal business name
SENTARA MEDICAL GROUP
Practice address
9507 Hospital Ave
Nassawadox, VA 23413-0017
Phone
(800) 442-8000
NPI assigned
May 21, 2012
Organization subpart
No

Authorized official

Name
Mrs. Cindy A Taylor
Title
Manager
Phone
(757) 252-3344

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Old Hampton Family Prac (188 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0000X Yes
Interventional Cardiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RI0011X
Pulmonary Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RP1001X

Addresses

Primary practice location

9507 Hospital Ave
Nassawadox, VA 23413-0017

Mailing address

PO Box 17
9507 Hospital Ave
Nassawadox, VA 23413-0017
Phone (800) 442-8000

Other identifiers

IdentifierTypeStateIssuer
C02033OtherVAMEDICARE GROUP NUMBER

Other names

  • Sentara Cardiology Specialists Doing business as

Other providers in Nassawadox, VA

All providers in Nassawadox, VA · Cardiovascular Disease Physician in Virginia

Sources for this page

Verify at the official NPI Registry.