NPIMap

Organization Active NPI

Sentara Medical Group

Doing business as Urology of Virginia

  • Urology Physician
  • Norfolk, VA
National Provider Identifier
1235319849
Registry record updated May 12, 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
400 W Brambleton Ave
Suite 100
Norfolk, VA 23510-1115
Phone
(757) 457-5170
Fax
(757) 626-0768
NPI assigned
Nov 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Mrs. Arrie P Hines
Title
Credentialing Manager
Phone
(757) 252-3339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

400 W Brambleton Ave
Suite 100
Norfolk, VA 23510-1115

Mailing address

400 W Brambleton Ave
Suite 100
Norfolk, VA 23510-1115
Phone (757) 457-5170

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": "1242086400000",
    "number": "1235319849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W BRAMBLETON AVE",
            "address_2": "SUITE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101115",
            "telephone_number": "757-457-5170",
            "fax_number": "757-626-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W BRAMBLETON AVE",
            "address_2": "SUITE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101115",
            "telephone_number": "757-457-5170",
            "fax_number": "757-626-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2009-05-12",
        "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": "757-252-3339",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.