SENTARA MEDICAL GROUP NPI 1083073464

NPI Information

  • NPI: 1083073464
  • Provider Name: SENTARA MEDICAL GROUP
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Doing Business As: SENTARA VASCULAR SPECIALISTS
  • Address: 3920 BRIDGE RD
    STE 202
    SUFFOLK, VA
    ZIP 23435
  • Phone: (757) 395-1600

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NPI Details

SENTARA MEDICAL GROUP is a vascular surgery surgery in Suffolk, VA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. SENTARA MEDICAL GROUP NPI is 1083073464. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sentara Vascular Specialists.

The provider's business location address is:

3920 BRIDGE RD
STE 202
SUFFOLK, VA
ZIP 23435-117
Phone: (757) 395-1600
Fax: (757) 510-9136

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 enumeration date for this NPI number is 2/15/2016 and was last updated on 2/15/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryVIRGINIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C02033OTHERVIRGINIAMEDICARE GROUP NUMBER

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: 11/21/2025

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