Active NPI
Sentara Medical Group
- Durable Medical Equipment & Medical Supplies
- Suffolk, VA
National Provider Identifier
1295853612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SENTARA MEDICAL GROUP
- Practice address
- 1548 Holland Rd # B
Suffolk, VA 23434-6528 - Phone
- (757) 925-0706
- Fax
- (757) 539-4750
- NPI assigned
- Mar 26, 2007
- 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
- Mrs. Cindy A Taylor
- Title
- Manager
- Phone
- (757) 687-1076
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1548 Holland Rd # B
Suffolk, VA 23434-6528
Mailing address
1548 Holland Rd # B
Suffolk, VA 23434-6528
Phone (757) 925-0706
Other names 1
- Suffolk Family Medical Center
National Provider Directory
National Provider DirectoryLocations
1548 Holland Rd
#B
Suffolk, VA 23434
Phone (757) 925-0706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185235200000",
"number": "1295853612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1548 HOLLAND RD # B",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234346528",
"telephone_number": "757-925-0706",
"fax_number": "757-539-4750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1548 HOLLAND RD # B",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234346528",
"telephone_number": "757-925-0706",
"fax_number": "757-539-4750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENTARA MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-24",
"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": "757-687-1076",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Suffolk Family Medical Center",
"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 Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.