Provider Type Icon

SENTARA MEDICAL GROUP NPI 1265612832


NPI Information

NPI: 1265612832
Provider Name: SENTARA MEDICAL GROUP

Doing Business As: SENTARA VASCULAR SPECIALISTS

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
725 VOLVO PKWY
STE 210
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 395-1600
Get Directions

SENTARA MEDICAL GROUP is a vascular surgery surgery in Chesapeake, 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 1265612832. 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:

725 VOLVO PKWY
STE 210
CHESAPEAKE, VA
ZIP 23320-621
Phone: (757) 395-1600
Fax: (757) 510-9115

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 11/12/2007 and was last updated on 11/9/2015.


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
12086S0129XSurgeryVascular SurgeryYes

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 GROUP NUMBER
20597050045MEDICARE 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.