Sentara Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SENTARA MEDICAL GROUP

Doing business as

Sentara Family Medicine Physicians

Practice address

20209 Sentara Way
Suite 200
Carrollton, VA 23314-3575

Phone

(757) 542-2000

Fax

(757) 542-2001

NPI assigned

Mar 26, 2007

Last updated

May 22, 2013By the provider in NPPES

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 3

Addresses

Other names 1

• Sentara Family Medicine Physicians Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1689792095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20209 SENTARA WAY",
            "address_2": "SUITE 200",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233143575",
            "telephone_number": "757-542-2000",
            "fax_number": "757-542-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20209 SENTARA WAY",
            "address_2": "SUITE 200",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233143575",
            "telephone_number": "757-542-2000",
            "fax_number": "757-542-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-05-22",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Family Medicine Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rite Aid of Virginia Inc (Rite Aid Pharmacy 06762)
• Riverside Physician Services Inc (Eagle Harbor Primary Care)
• Genevieve Rochefort, PA-C
• Maryam Rostami, M.D.
• Dallas A Sante
• Sentara Medical Group (Sentara Cardiology Specialists)
• Sentara Medical Group (Sentara Urgent Care)
• Eddie Smith, MD
• Kasey Sokol, LPC
• Somefun and Associates LLC (Carrollton Smiles)

• Family Medicine Physician in Carrollton, VA
• Providers in Carrollton, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.