SENTARA VASCULAR SPECIALISTS – NPI #1891977187
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

SENTARA VASCULAR SPECIALISTS is a surgeon located in NASSAWADOX, VA. NPPES has assigned the NPI number 1891977187 to SENTARA VASCULAR SPECIALISTS on November 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SENTARA VASCULAR SPECIALISTS” is a dba name, the actual legal business name for this organization is SENTARA MEDICAL GROUP. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 4 years ago on Aug 31, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SENTARA VASCULAR SPECIALISTS below.

NPI Profile for
SENTARA MEDICAL GROUP

NPI Number
1891977187
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SENTARA MEDICAL GROUP
Doing Business As (dba): SENTARA VASCULAR SPECIALISTS
Primary location
9506 HOSPITAL AVE
NASSAWADOX, VA 23413-0000
Phone: (757) 395-1600 Fax: (757) 510-9120
2 Other location(s):
15395 Merry Cat Lane Suite 20-A
Belle Haven, VA 23306-0000
Phone: (757) 395-1600
Fax: (757) 510-9120
9524 Hospital Ave
Nassawadox, VA 23413
Phone: (757) 395-1600
Fax: (757) 510-9120
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DORIS PRINCE
DIRECTOR
Phone: (757) 983-5475
Updated
Certification Date
Aug 29, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.