<Unavail>

LBN: Sentara Medical Group
<Unavail> is an health care organization with primary practice located at 844 Kempsville Rd Ste 104, Norfolk VA 23502-3927. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Sentara Medical Group can be contacted via phone (757) 261-0041, or through Prince, Doris A via phone (757) 983-5475.

Contact Information

Primary practice address
844 Kempsville Rd Ste 104 Norfolk VA 23502-3927
Phone: (757) 261-0041
Fax: (757) 431-7770
Website:
Map and Directions
Authorized official contact:
Name: Prince, Doris A
Phone: (757) 983-5475

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X Virginia
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Virginia

Profile Details

NPI number 1487056115
LBN Legal business name Sentara Medical Group
DBA Doing business as <Unavail>
Authorized official Prince, Doris A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2014
Last updated May 24th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487056115 NPPES
Virginia Other C02033 MEDICARE GROUP NUMBER

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