Sentara Medical Group

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SENTARA MEDICAL GROUP

Practice address

3105 Western Branch Blvd
Chesapeake, VA 23321-5543

Phone

(757) 686-1973

Fax

(757) 686-8995

NPI assigned

Nov 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cindy A Taylor

Title

Credentialing Manager

Phone

(757) 687-1076

Specialties & licenses 1

Addresses

Other names 1

• Urology of Virginia Doing business as

Locations

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1982886271",
    "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": "757-686-1973",
            "fax_number": "757-686-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 WESTERN BRANCH BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215543",
            "telephone_number": "757-686-1973",
            "fax_number": "757-686-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "757-687-1076"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urology of Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sentara Medical Group
• Sentara Medical Group
• Sentara Medical Group
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• Sentara Medical Group
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• Sentinel Home Healthcare, Inc
• Emily Frances Sepulveda, APRN, FNP-C
• Sequoia Psychiatry LLC
• Serene Massage

• Urology Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Urology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.