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Contact Information

SENTARA MEDICAL GROUP
844 KEMPSVILLE RD
STE 104
NORFOLK, VA23502-3927
 Phone: 757-261-0041
 Fax: 757-431-7770
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SENTARA MEDICAL GROUP

NPI Number 1487056115
LBN Legal business name SENTARA MEDICAL GROUP
Authorized official DORIS PRINCE - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/25/2014
Last updated 05/24/2021 - About 5 years ago
Identifiers
VA Other C02033 MEDICARE GROUP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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