Organization
SENTARA MEDICAL GROUP
Active
Other names
Sentara Family & Internal Medicine Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY A TAYLOR (MANAGER)
(757) 252-2765
Entity
Organization
Contact information
Practice address
12825 MINNIEVILLE RD, STE 202, LAKE RIDGE, VA 22192-3601
(571) 542-4950
(571) 285-1160
Mailing address
12825 MINNIEVILLE RD, STE 202, LAKE RIDGE, VA 22192-3601
(571) 542-4950
(571) 285-1160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
VA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
09/12/2011
Last updated
03/28/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us