NPIMap

Organization Active NPI

Sentara Medical Group

Doing business as Sentara Neurology Specialists

  • Neurological Surgery Physician
  • Hampton, VA
National Provider Identifier
1306171301
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
SENTARA MEDICAL GROUP
Doing business as
Sentara Neurology Specialists
Practice address
4000 Coliseum Dr Ste 200a
Hampton, VA 23666-5975
Phone
(757) 736-1520
Fax
(757) 756-5116
NPI assigned
Oct 8, 2009
Last updated
Apr 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Mrs. Doris Prince
Title
Manager
Phone
(757) 252-2760

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary
Neurology Physician 2084N0400X NU

Addresses

Primary practice location

4000 Coliseum Dr Ste 200a
Hampton, VA 23666-5975

Mailing address

4000 Coliseum Dr Ste 200a
Hampton, VA 23666-5975
Phone (757) 507-0600

Other practice location 1

4000 Coliseum Dr
Suite 200
Hampton, VA 23666-5906
Phone (757) 507-0600

Other identifiers 1

IdentifierTypeStateIssuer
C0203OtherVAMEDICARE GROUP NUMBER

Other names 1

  • Sentara Neurology Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Invalid Entry188 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

4000 Coliseum Dr
Ste 200
Hampton, VA 23666
Phone (757) 736-8050

4000 Coliseum Dr
Ste 200A
Hampton, VA 23666
Phone (757) 736-1520

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1306171301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 COLISEUM DR STE 200A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665975",
            "telephone_number": "757-507-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 COLISEUM DR STE 200A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665975",
            "telephone_number": "757-736-1520",
            "fax_number": "757-756-5116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Coliseum Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236665906",
            "country_code": "US",
            "telephone_number": "757-507-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "757-252-2760",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C0203",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Neurology Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sentara Neurology Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.