Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sentara Medical Group

Organization Family Medicine Physician · NPI 1043592462

Sentara Medical Group provides Family Medicine Physician services in Lake Ridge, Virginia. Licensed in Virginia. Registered with an NPI since 2011.

Licensed in
VA
In the registry since
2011
Specialties on file
3

Practice location Address checks out

12825 Minnieville Rd Ste 202
Lake Ridge, VA 22192-3601
Phone: (571) 542-4950
Fax: (571) 285-1160
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X (VA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1043592462
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Taylor — Manager · (757) 252-2765
Other names Sentara Family & Internal Medicine Physicians
NPI enumeratedSeptember 12, 2011
Last updated in NPPESMarch 28, 2017
Mailing address12825 Minnieville Rd, Ste 202, Lake Ridge, VA 22192-3601

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