Organization · NPI-2

Sentara Medical Group

Family Medicine · Norfolk, VA

NPI number1265485270

StatusActive

Last updated in NPPESFeb 3, 2022

Details

NPI: 1265485270
Entity type: Organization (NPI-2)
Legal business name: Sentara Medical Group
Organization subpart: No
Enumeration date: May 19, 2006
Certification date: Feb 3, 2022
Last updated: Feb 3, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
207LP2900X	Anesthesiology, Pain Medicine	–	–
207N00000X	Dermatology	–	–
207R00000X	Internal Medicine	–	–
207RG0100X	Internal Medicine, Gastroenterology	–	–
207RH0002X	Internal Medicine, Hospice and Palliative Medicine	–	–
207RC0000X	Internal Medicine, Cardiovascular Disease	–	–
207RP1001X	Internal Medicine, Pulmonary Disease	–	–
207X00000X	Orthopaedic Surgery	–	–
208000000X	Pediatrics	–	–
2084N0400X	Psychiatry & Neurology, Neurology	–	–
2086S0129X		–	–
2086X0206X	Surgery, Surgical Oncology	–	–
208M00000X	Hospitalist	–	–
213E00000X	Podiatrist	–	–

Practice location

824 N Military Hwy Ste 100
Norfolk, VA 23502-3652

Phone 757-252-2900

Mailing address

Po Box 746550
Atlanta, GA 30374-6550

Phone 757-252-2765 · Fax 757-252-3235

Other practice locations

863 Glenrock Rd
Suite 100
Norfolk, VA 23502-3701

Phone 757-252-2765 · Fax 757-321-8792

Authorized official

Doris Prince
Director
7572522760

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