SENTARA MEDICAL GROUP NPI 1346601309

NPI Information

  • NPI: 1346601309
  • Provider Name: SENTARA MEDICAL GROUP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: SENTARA FAMILY & INTERNAL MEDICINE PHYSICIANS
  • CLIA Number: 49D1018980
  • Address: 12825 MINNIEVILLE RD
    STE 202
    LAKE RIDGE, VA
    ZIP 22192
  • Phone: (703) 780-2800

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NPI Details

SENTARA MEDICAL GROUP is a family medicine in Lake Ridge, 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 1346601309. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sentara Family & Internal Medicine Physicians.

The provider's business location address is:

12825 MINNIEVILLE RD
STE 202
LAKE RIDGE, VA
ZIP 22192-601
Phone: (703) 780-2800
Fax: (844) 700-6186

The provider's authorized official is Cindy A Taylo .
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 49D1018980 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2016 and was last updated on 8/25/2016.

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
1207R00000XInternal MedicineVIRGINIANo
2332B00000XDurable Medical Equipment & Medical SuppliesVIRGINIANo
3207Q00000XFamily MedicineVIRGINIAYes

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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