NPIMap

Organization Active NPI

Sentara Medical Group

Doing business as Sentara Infectious Disease Specialists

  • Infectious Disease Physician
  • Williamsburg, VA
National Provider Identifier
1992989677
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
SENTARA MEDICAL GROUP
Doing business as
Sentara Infectious Disease Specialists
Practice address
400 Sentara Cir Ste 450
Williamsburg, VA 23188
Phone
(757) 345-4655
Fax
(757) 390-4892
NPI assigned
Dec 18, 2007
Last updated
Apr 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Doris Prince
Title
Director
Phone
(757) 983-5475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

400 Sentara Cir Ste 450
Williamsburg, VA 23188

Mailing address

400 Sentara Cir Ste 450
Williamsburg, VA 23188-5725
Phone (757) 345-4655

Other practice location 1

500 Sentara Cir Ste 100A
Williamsburg, VA 23188-5727
Phone (757) 827-2300

Other names 1

  • Sentara Infectious Disease Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nightingale Air Amb Amb188 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

400 Sentara Cir
Ste 450
Williamsburg, VA 23188
Phone (757) 345-4600

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1992989677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SENTARA CIR STE 450",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885725",
            "telephone_number": "757-345-4655",
            "fax_number": "757-390-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SENTARA CIR STE 450",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23188",
            "telephone_number": "757-345-4655",
            "fax_number": "757-390-4892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Sentara Cir Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885727",
            "country_code": "US",
            "telephone_number": "757-827-2300",
            "fax_number": "757-390-3169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-983-5475"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Infectious Disease Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sentara Infectious Disease 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 Apr 13, 2021; 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.