NPIMap

Organization Active NPI

Sentara Medical Group

Doing business as The Center for Plastic Surgery at Sentara Princess Anne

  • Plastic Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1306586292
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
SENTARA MEDICAL GROUP
Doing business as
The Center for Plastic Surgery at Sentara Princess Anne
Practice address
1925 Glenn Mitchell Dr Ste 206
Virginia Beach, VA 23456-0177
Phone
(757) 507-0720
Fax
(757) 431-7319
NPI assigned
Mar 30, 2022
Last updated
Aug 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Authorized official

Name
Doris Prince
Title
Director
Phone
(757) 983-5475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X NU Primary

Addresses

Primary practice location

1925 Glenn Mitchell Dr Ste 206
Virginia Beach, VA 23456-0177

Mailing address

1925 Glenn Mitchell Dr Ste 206
Virginia Beach, VA 23456-0177
Phone (757) 507-0720

Other names 1

  • The Center for Plastic Surgery at Sentara Princess Anne Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2271254Sentara Plastic Surgery Princess Anne1925 Glenn Mitchell Drive, Suite 206, Virginia Beach, VA 23456Certificate of waiverOct 30, 2026

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

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1306586292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 GLENN MITCHELL DR STE 206",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560177",
            "telephone_number": "757-507-0720",
            "fax_number": "757-431-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 GLENN MITCHELL DR STE 206",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560177",
            "telephone_number": "757-507-0720",
            "fax_number": "757-431-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-983-5475"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Plastic Surgery at Sentara Princess Anne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.