Sentara Medical Group

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

SENTARA MEDICAL GROUP

Doing business as

Sentara Urgent Care

Practice address

5659 Parkway Dr
Suite 100
Gloucester, VA 23061-3792

Phone

(804) 210-1005

Fax

(804) 210-1009

NPI assigned

Feb 6, 2008

Last updated

Sep 23, 2011By 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 names 1

• Sentara Urgent Care Doing business as

Locations

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1972781508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5659 PARKWAY DR",
            "address_2": "SUITE 100",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230613792",
            "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": "230613792",
            "telephone_number": "804-210-1005",
            "fax_number": "804-210-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2011-09-23",
        "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": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sentara Medical Group (Sentara Specialty Services)
• Sentara Medical Group (Sentara Gloucester Medical Arts)
• Sentara Medical Group (Sentara Neurology Specialists)
• Sentara Medical Group (Sentara Surgery Specialists)
• Sentara Medical Group (Gloucester Urgent Care)
• Tiina J Shackelford, COTA/L
• Virginia Sherrod, PHARMD
• Parthiv J Sheth, M.D.
• Kelly Shifflett, LCSW
• Shining Light Behavioral Health - Whittaker

• Urgent Care Clinic/Center in Gloucester, VA
• Providers in Gloucester, VA by specialty
• Urgent Care Clinic/Center in Virginia

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