Active NPI
Sentara Medical Group
- Family Medicine Physician
- Virginia Beach, VA
National Provider Identifier
1376660985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SENTARA MEDICAL GROUP
- Practice address
- 1380 Tuscany Dr
Virginia Beach, VA 23456-7751 - Phone
- (757) 252-9800
- Fax
- (757) 301-9214
- 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) 252-3344
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
1380 Tuscany Dr
Virginia Beach, VA 23456-7751
Mailing address
1380 Tuscany Dr
Virginia Beach, VA 23456-7751
Phone (757) 252-9800
Other names 1
- Sentara Family Medicine Physicians
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0862599 | Sentara Family Medicine Physicians - Nimmo | Provider-performed microscopy | Sep 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
1060 First Colonial Rd
Fl 1
Virginia Beach, VA 23454
Phone (757) 395-2323
1380 Tuscany Dr
Virginia Beach, VA 23456
Phone (757) 252-9800
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": "1406505600000",
"number": "1376660985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 TUSCANY DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234567751",
"telephone_number": "757-252-9800",
"fax_number": "757-301-9214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 TUSCANY DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234567751",
"telephone_number": "757-252-9800",
"fax_number": "757-301-9214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENTARA MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2014-07-28",
"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": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family 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 Family Medicine Physicians",
"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 Jul 28, 2014; 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.