Organization Active NPI

Optima Health Plan

Doing business as Sentara Community Care Center

  • Family Medicine Physician
  • Rockingham, VA
National Provider Identifier
1821793381
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OPTIMA HEALTH PLAN
Doing business as
Sentara Community Care Center
Practice address
2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone
(540) 564-5880
Fax
(757) 470-5392
NPI assigned
Apr 4, 2023
Last updated
Jun 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Pediatrics Physician 208000000X
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X

Addresses

Primary practice location

2010 Health Campus Dr
Rockingham, VA 22801-8679

Mailing address

2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 564-5880

Other practice location 1

1869 Boyers Rd
Rockingham, VA 22801-9328
Phone (540) 564-5880

Other practice location 2

250 E Elizabeth St Ste 102
Harrisonburg, VA 22802-4159
Phone (540) 564-5880

Other practice location 3

1241 N Main St
Harrisonburg, VA 22802-4632
Phone (540) 564-5880

Other practice location 4

445 Sterling Street
Harrisonburg, VA 22802
Phone (540) 564-5880

Other names 1

  • SENTARA COMMUNITY CARE CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Optima Health Plan6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

250 E Elizabeth St
Ste 102
Harrisonburg, VA 22802
Phone (540) 564-5880

1869 Boyers Rd
Rockingham, VA 22801
Phone (540) 564-5880

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1821793381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 HEALTH CAMPUS DR",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018679",
            "telephone_number": "540-564-5880",
            "fax_number": "757-470-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 HEALTH CAMPUS DR",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018679",
            "telephone_number": "540-564-5880",
            "fax_number": "757-470-5392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1869 Boyers Rd",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "228019328",
            "country_code": "US",
            "telephone_number": "540-564-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 E Elizabeth St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228024159",
            "country_code": "US",
            "telephone_number": "540-564-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1241 N Main St",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228024632",
            "country_code": "US",
            "telephone_number": "540-564-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Sterling Street",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "22802",
            "country_code": "US",
            "telephone_number": "540-564-5880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMA HEALTH PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENTARA COMMUNITY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SENTARA COMMUNITY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockingham, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.