Individual provider Active NPI

Sara Elizabeth Gunnink, MD

  • Family Medicine Physician
  • Norfolk, VA
National Provider Identifier
1851802391
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101262463 Issued in VA
Practice address
7447 Central Business Park Dr Ste 104
Norfolk, VA 23513-2831
Phone
(757) 853-1380
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101262463 VA Primary

Addresses

Primary practice location

7447 Central Business Park Dr Ste 104
Norfolk, VA 23513-2831

Mailing address

7447 Central Business Park Dr Ste 104
Norfolk, VA 23513-2831
Phone (757) 853-1380

Other practice location 1

7447 Central Business Park Dr
Norfolk, VA 23513-2831
Phone (757) 853-1380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171211001053 VA Practitioner - Family Practice 9133487655 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Family Medicine CurrentSince Dec 1, 2017 Accepting new patients
Vpa PC Family Medicine CurrentSince Dec 1, 2017 Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

7447 Central Business Park Dr
Ste 104
Norfolk, VA 23513
Phone (757) 853-1380

263 McLaws Cir
Ste 105
Williamsburg, VA 23185
Phone (757) 645-0831

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1851802391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 CENTRAL BUSINESS PARK DR STE 104",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132831",
            "telephone_number": "757-853-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 CENTRAL BUSINESS PARK DR STE 104",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132831",
            "telephone_number": "757-853-1380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7447 Central Business Park Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235132831",
            "country_code": "US",
            "telephone_number": "757-853-1380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNNINK",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101262463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.