Sentara Medical Group

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SENTARA MEDICAL GROUP

Doing business as

Sentara Podiatry Specialists

Practice address

1080 First Colonial Rd Ste 305
Virginia Beach, VA 23454-2406

Phone

(757) 395-1880

Fax

(757) 431-7770

NPI assigned

Sep 25, 2014

Last updated

May 24, 2021By 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

Doris A Prince

Title

Director

Phone

(757) 983-5475

Specialties & licenses 4

Addresses

Other names 1

• Sentara Podiatry Specialists Doing business as

Locations

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1841692571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 FIRST COLONIAL RD STE 305",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542406",
            "telephone_number": "757-395-1880",
            "fax_number": "757-431-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 FIRST COLONIAL RD STE 305",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542406",
            "telephone_number": "757-395-1880",
            "fax_number": "757-431-7770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 First Colonial Rd",
            "address_2": "Ste 400",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234542406",
            "country_code": "US",
            "telephone_number": "757-395-1880",
            "fax_number": "757-431-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-983-5475"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Podiatry Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sentara Podiatry Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sentara Medical Group (Sentara Family Medicine Physicians)
• Sentara Medical Group (Sentara Palliative Care Specialists)
• Sentara Medical Group (Sentara Cardiology Specialists)
• Sentara Medical Group (Sentara Primary Care)
• Sentara Medical Group (Physical Medicine Specialists F)
• Sentara Medical Group (Sentara Physical Medicine & Pain Management Specialists)
• Sentara Medical Group (Sentara Surgery Specialists)
• Sentara Medical Group (Sentara Family Medicine Physicians)
• Sentara Medical Group (Sentara Neurosurgery Specialists)
• Sentara Medical Group (Sentara Comprehensive Pain Management Specialists)

• Podiatrist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.