Active NPI
Sentara Medical Group
- Internal Medicine Physician
- Newport News, VA
National Provider Identifier
1851418461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SENTARA MEDICAL GROUP
- Practice address
- 11803 Jefferson Ave
Suite 140
Newport News, VA 23606-2565 - Phone
- (757) 594-1800
- Fax
- (757) 594-1801
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
11803 Jefferson Ave
Suite 140
Newport News, VA 23606-2565
Mailing address
11803 Jefferson Ave
Suite 140
Newport News, VA 23606-2565
Phone (757) 594-1800
Other names 1
- Sentara Internal 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 |
|---|---|---|---|
| 49D0230148 | Sentara Internal Medicine Physicians | Provider-performed microscopy | Jan 30, 2028 |
National Provider Directory
National Provider DirectoryLocations
11803 Jefferson Ave
Ste 140
Newport News, VA 23606
Phone (757) 594-1803
301 Riverview Ave
Ste 710
Norfolk, VA 23510
Phone (757) 252-9010
3920A Bridge Rd
Ste 207
Suffolk, VA 23435
Phone (757) 983-2200
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": "1322524800000",
"number": "1851418461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11803 JEFFERSON AVE",
"address_2": "SUITE 140",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236062565",
"telephone_number": "757-594-1800",
"fax_number": "757-594-1801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11803 JEFFERSON AVE",
"address_2": "SUITE 140",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236062565",
"telephone_number": "757-594-1800",
"fax_number": "757-594-1801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENTARA MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2011-11-29",
"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": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal 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 Internal Medicine Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.