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Sentara Medical Group

Organization Active NPI Neurological Surgery Physician · Virginia Beach, VA

NPI 1881807154 · NPPES record last updated Sep 26, 2016

Key facts

NPI
1881807154
Entity type
Organization (NPI type 2)
Primary specialty
Neurological Surgery Physician 207T00000X
Legal business name
SENTARA MEDICAL GROUP
Practice address
1080 First Colonial Rd
Suite 400
Virginia Beach, VA 23454-2406
Phone
(757) 395-8720
Fax
(757) 510-9089
NPI assigned
May 7, 2007
Organization subpart
No

Authorized official

Name
Mrs. Cindy A Taylor
Title
Manager
Phone
(757) 252-2765

Corporate family (same tax ID) 24

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Old Hampton Family Prac (188 organizations share this tax ID)

Locations

600 Gresham Dr
Ste 8630
Norfolk, VA 23507
Phone (757) 388-6105

301 Riverview Ave
Ste 202
Norfolk, VA 23510
Phone (757) 252-9015

3920A Bridge Rd
Ste 204
Suffolk, VA 23435
Phone (757) 983-0351

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Neurological Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207T00000X Yes
Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084P0800X

Addresses

Primary practice location

1080 First Colonial Rd
Suite 400
Virginia Beach, VA 23454-2406

Mailing address

1080 First Colonial Rd
Suite 400
Virginia Beach, VA 23454-2406
Phone (757) 395-8720

Other identifiers

IdentifierTypeStateIssuer
C02033OtherVAMEDICARE GROUP NUMBER

Other names

  • Sentara Neurosurgery Specialists Doing business as

Other providers in Virginia Beach, VA

All providers in Virginia Beach, VA · Neurological Surgery Physician in Virginia

Sources for this page

Verify at the official NPI Registry.