NPIMap

Organization Active NPI

Sentara Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Williamsburg, VA
National Provider Identifier
1902188907
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SENTARA MEDICAL GROUP
Practice address
332 N Henry St
Ste a
Williamsburg, VA 23185-4117
Phone
(757) 984-1218
Fax
(757) 208-0077
NPI assigned
Sep 15, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Cindy A Taylor
Title
Manager
Phone
(757) 252-3344

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

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

Locations

332 N Henry St
Ste A
Williamsburg, VA 23185
Phone (757) 984-1218

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

NPPES NPI Registry

Primary practice location

332 N Henry St
Ste a
Williamsburg, VA 23185-4117

Mailing address

332 N Henry St
Ste a
Williamsburg, VA 23185-4117
Phone (757) 984-1218

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
C02033OtherVAMEDICARE GROUP NUMBER

Other names 1

NPPES NPI Registry
  • Sentara Physical Medicine Specialists Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 15, 2011.

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1902188907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 N HENRY ST",
            "address_2": "STE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231854117",
            "telephone_number": "757-984-1218",
            "fax_number": "757-208-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 N HENRY ST",
            "address_2": "STE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231854117",
            "telephone_number": "757-984-1218",
            "fax_number": "757-208-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "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": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C02033",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Physical Medicine Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.