Sentara Medical Group

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SENTARA MEDICAL GROUP

Doing business as

Sentara Podiatry Specialists

Practice address

725 Volvo Pkwy
Ste 210
Chesapeake, VA 23320-1602

Phone

(757) 252-4200

Fax

(757) 410-7993

NPI assigned

Mar 6, 2014

Last updated

Sep 23, 2014By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Sentara Podiatry Specialists Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessa R Blount, C.G.C.

  • Genetic Counselor (M.S.)
  • Norfolk, VA
  • NPI 1679820567
  NPD (past)

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1952727588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 VOLVO PKWY",
            "address_2": "STE 210",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201602",
            "telephone_number": "757-252-4200",
            "fax_number": "757-410-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 VOLVO PKWY",
            "address_2": "STE 210",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201602",
            "telephone_number": "757-252-4200",
            "fax_number": "757-410-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-09-23",
        "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": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C02033",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Podiatry Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sentara Medical Group (Sentara Surgery Specialists)
• Sentara Medical Group (Sentara Geriatric Physician Services)
• Sentara Medical Group (Sentara Internal Medicine Physicians)
• Sentara Medical Group (Sentara Family & Internal Medicine Physicians)
• Sentara Medical Group (Sentara Cardiology Specialists)
• Sentara Medical Group (Urology of Virginia)
• Sentiment Hearts, LLC (Visiting Angels Chesapeake)
• Sentinel Home Healthcare, Inc
• Emily Frances Sepulveda, APRN, FNP-C
• Sequoia Psychiatry LLC

• Podiatrist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.