NPIMap

Organization Active NPI

Sentara Medical Group

Doing business as Gloucester Urgent Care

  • Urgent Care Clinic/Center
  • Gloucester, VA
National Provider Identifier
1962529511
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SENTARA MEDICAL GROUP
Doing business as
Gloucester Urgent Care
Practice address
5659 Parkway Dr
Suite 100
Gloucester, VA 23061-3782
Phone
(804) 210-1005
Fax
(804) 210-1009
NPI assigned
Mar 26, 2007
Last updated
Feb 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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) 687-1076

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

5659 Parkway Dr
Suite 100
Gloucester, VA 23061-3782

Mailing address

PO Box 2502
Norfolk, VA 23501-2502
Phone (804) 210-1005

Other names 1

  • Gloucester Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Invalid Entry188 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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1962529511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2502",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235012502",
            "telephone_number": "804-210-1005",
            "fax_number": "804-210-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 PARKWAY DR",
            "address_2": "SUITE 100",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230613782",
            "telephone_number": "804-210-1005",
            "fax_number": "804-210-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-02-02",
        "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": "757-687-1076",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gloucester Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gloucester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.