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SENTARA MEDICAL GROUP NPI 1265954747


NPI Information

NPI: 1265954747
Provider Name: SENTARA MEDICAL GROUP

Doing Business As: SENTARA CARDIOLOGY SPECIALISTS

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 49D2184364

Address:
1933 EDWIN DR STE 208A
CHESAPEAKE, VA
ZIP 23322
Phone: (757) 252-5660
Get Directions

SENTARA MEDICAL GROUP is a cardiovascular disease internal medicine in Chesapeake, VA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SENTARA MEDICAL GROUP NPI is 1265954747. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sentara Cardiology Specialists.

The provider's business location address is:

1933 EDWIN DR STE 208A
CHESAPEAKE, VA
ZIP 23322-531
Phone: (757) 252-5660
Fax: (757) 204-7788

The provider's authorized official is Cindy A Taylor .
The authorized official title is Manager and has the following contact phone number (757) 252-2765.

The CLIA number assigned to this NPI record is 49D2184364 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C02033OTHERVIRGINIAMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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