Sentara Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SENTARA MEDICAL GROUP

Practice address

4001 Coliseum Dr
Ste. 310
Hampton, VA 23666-6257

Phone

(757) 723-9380

NPI assigned

Aug 18, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Cindy A Taylor

Title

Manager

Phone

(757) 252-3344

Specialties & licenses 2

Addresses

Other names 1

• Sentara Internal Medicine Physicians Doing business as

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1255587697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 COLISEUM DR",
            "address_2": "STE. 310",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666257",
            "telephone_number": "757-723-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 COLISEUM DR",
            "address_2": "STE. 310",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666257",
            "telephone_number": "757-723-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "757-252-3344",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Internal Medicine Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sentara Hospitals
• Sentara Life Care Corporation
• Sentara Medical Group
• Sentara Medical Group
• Sentara Medical Group
• Sentara Medical Group
• Sentara Medical Group
• Sentara Medical Group
• Sentara Medical Group
• Sentara Medical Group

• Internal Medicine Physician in Hampton, VA
• Providers in Hampton, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.