SENTARA MEDICAL GROUP NPI 1487056115

NPI Information

  • NPI: 1487056115
  • Provider Name: SENTARA MEDICAL GROUP
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Doing Business As: SENTARA PODIATRY SPECIALISTS
  • Address: 844 KEMPSVILLE RD
    STE 104
    NORFOLK, VA
    ZIP 23502
  • Phone: (757) 261-0041

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NPI Details

SENTARA MEDICAL GROUP is a podiatrist in Norfolk, VA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. SENTARA MEDICAL GROUP NPI is 1487056115. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sentara Podiatry Specialists.

The provider's business location address is:

844 KEMPSVILLE RD
STE 104
NORFOLK, VA
ZIP 23502-927
Phone: (757) 261-0041
Fax: (757) 431-7770

The provider's authorized official is Doris A Prince .
The authorized official title is Director and has the following contact phone number (757) 983-5475.

The enumeration date for this NPI number is 9/25/2014 and was last updated on 5/24/2021.

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
1207RS0010XInternal MedicineSports MedicineNo
2213E00000XPodiatristVIRGINIAYes
3332B00000XDurable Medical Equipment & Medical SuppliesVIRGINIANo

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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