NPIMap

Organization Active NPI

Sentara Obici Surgery Ctr - Navy Resource Sharing

  • General Acute Care Hospital
  • Suffolk, VA
National Provider Identifier
1194287417
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SENTARA OBICI SURGERY CTR - NAVY RESOURCE SHARING
Practice address
2750 Godwin Blvd
Suffolk, VA 23434-8036
Phone
(757) 983-2000
NPI assigned
Apr 4, 2019
Organization subpart
Yes
Parent organization
NAVAL MEDICAL CENTER PORTSMOUTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
William M Condon
Title
Ubo Manager
Phone
(240) 401-3643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

2750 Godwin Blvd
Suffolk, VA 23434-8036

Mailing address

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

National Provider Directory

National Provider Directory
Tax ID family
Sentara Obici Surgery Ctr - Navy Resource Sharing21 organizations share this tax ID, including this one
Part of
Sentara Obici Surgery Ctr - Navy Resource Sharing

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1194287417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 GODWIN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348036",
            "telephone_number": "757-983-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA OBICI SURGERY CTR - NAVY RESOURCE SHARING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVAL MEDICAL CENTER PORTSMOUTH",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "240-401-3643"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 4, 2019; 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.