NPIMap

Organization Active NPI

Sentara Medical Group

Doing business as Sentara Vascular Specialists

  • Vascular Surgery Physician
  • Nassawadox, VA
National Provider Identifier
1891977187
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
SENTARA MEDICAL GROUP
Doing business as
Sentara Vascular Specialists
Practice address
9506 Hospital Ave
Nassawadox, VA 23413-0000
Phone
(757) 395-1600
Fax
(757) 510-9120
NPI assigned
Nov 29, 2007
Last updated
Aug 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X Primary

Addresses

Primary practice location

9506 Hospital Ave
Nassawadox, VA 23413-0000

Mailing address

9506 Hospital Ave
Nassawadox, VA 23413
Phone (757) 395-1600

Other practice location 1

15395 Merry Cat Lane Suite 20-A
Belle Haven, VA 23306-0000
Phone (757) 395-1600

Other practice location 2

9524 Hospital Ave
Nassawadox, VA 23413
Phone (757) 395-1600

Other names 1

  • Sentara Vascular Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seisentra Hlthcare Ctr188 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1891977187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9506 HOSPITAL AVE",
            "city": "NASSAWADOX",
            "state": "VA",
            "postal_code": "23413",
            "telephone_number": "757-395-1600",
            "fax_number": "757-510-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9506 HOSPITAL AVE",
            "city": "NASSAWADOX",
            "state": "VA",
            "postal_code": "234130000",
            "telephone_number": "757-395-1600",
            "fax_number": "757-510-9120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15395 Merry Cat Lane Suite 20-A",
            "address_purpose": "LOCATION",
            "city": "Belle Haven",
            "state": "VA",
            "postal_code": "233060000",
            "country_code": "US",
            "telephone_number": "757-395-1600",
            "fax_number": "757-510-9120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9524 Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Nassawadox",
            "state": "VA",
            "postal_code": "23413",
            "country_code": "US",
            "telephone_number": "757-395-1600",
            "fax_number": "757-510-9120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-29",
        "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": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Vascular Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sentara Vascular Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nassawadox, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.