Provider Type Icon

SENTARA MEDICAL GROUP NPI 1649530965


NPI Information

NPI: 1649530965
Provider Name: SENTARA MEDICAL GROUP

Doing Business As: SENTARA ENDOCRINOLOGY SPECIALISTS

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 49D0230263

Address:
4001 COLISEUM DR
STE 310
HAMPTON, VA
ZIP 23666
Phone: (757) 827-2115
Get Directions

SENTARA MEDICAL GROUP is an endocrinology and diabetes and metabolism internal medicine in Hampton, VA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. SENTARA MEDICAL GROUP NPI is 1649530965. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sentara Endocrinology Specialists.

The provider's business location address is:

4001 COLISEUM DR
STE 310
HAMPTON, VA
ZIP 23666-257
Phone: (757) 827-2115
Fax: (757) 510-9383

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 CLIA number assigned to this NPI record is 49D0230263 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/21/2012 and was last updated on 5/13/2015.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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

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

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.