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SENTARA MEDICAL GROUP NPI 1043337728


NPI Information

NPI: 1043337728
Provider Name: SENTARA MEDICAL GROUP

Doing Business As: SENTARA FAMILY MEDICINE PHYSICIANS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 49D0228982

Address:
2017 PLEASURE HOUSE RD
VIRGINIA BEACH, VA
ZIP 23455
Phone: (757) 318-6900
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SENTARA MEDICAL GROUP is a family medicine in Virginia Beach, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SENTARA MEDICAL GROUP NPI is 1043337728. The provider is registered as an organization entity type.
The provider Is Doing Business As Sentara Family Medicine Physicians.

The provider's business location address is:

2017 PLEASURE HOUSE RD
VIRGINIA BEACH, VA
ZIP 23455-709
Phone: (757) 318-6900
Fax: (757) 318-6901

The provider's authorized official is Cindy A Taylor .
The authorized official title is Manager and has the following contact phone number (757) 252-3344.

The CLIA number assigned to this NPI record is 49D0228982 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/26/2007 and was last updated on 9/20/2011.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2207Q00000XFamily MedicineYes

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
10597050017MEDICARE NSCVIRGINIA

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: 11/14/2023

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