Sentara Medical Group
Pediatrics in Virginia Beach, VA. Organization (NPI-2).
NPI number1265617864
StatusActive
Last updated in NPPESOct 5, 2016
Details
- NPI
- 1265617864
- Entity type
- Organization (NPI-2)
- Legal business name
- Sentara Medical Group
- Organization subpart
- No
- Enumeration date
- Jan 2, 2008
- Last updated
- Oct 5, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 207RR0500X | Internal Medicine, Rheumatology | – | – | |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | |
| 208600000X | Surgery | – | – | |
| 2086S0129X | – | – |
Other names
- Sentara Specialty Services (Doing Business As)
Practice location
1950 Glenn Mitchell DrSuite 310
Virginia Beach, VA 23456-0019
Phone 757-507-0400
Mailing address
1950 Glenn Mitchell DrSuite 310
Virginia Beach, VA 23456-0019
Phone 757-507-0400
Authorized official
Cindy A Taylor
Manager
7572522765
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