# SENTARA MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sentara Specialty Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285925545
- **Authorized official:** MRS. CINDY A TAYLOR (MANAGER)
- **Authorized official phone:** (757) 252-3344

## Contact information

- **Practice address:** 11803 JEFFERSON AVE, SUITE 100A, NEWPORT NEWS, VA 23606-2565
- **Practice address phone:** (757) 594-1887
- **Practice address fax:** (757) 594-1884
- **Mailing address:** 11803 JEFFERSON AVE, SUITE 100A, NEWPORT NEWS, VA 23606-2565
- **Mailing address phone:** (757) 594-1887
- **Mailing address fax:** (757) 594-1884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 04/21/2011
- **Last updated:** 11/18/2011