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 1346601309

Sentara Medical Group provides Family Medicine Physician services in Lake Ridge, Virginia. Licensed in Virginia. Registered with an NPI since 2016.

Licensed in
VA
In the registry since
2016
Specialties on file
3

Practice location Address checks out

12825 Minnieville Rd Ste 202
Lake Ridge, VA 22192-3601 Not confirmed with CMS for 10 years — call before visiting
Phone: (703) 780-2800
Fax: (844) 700-6186
Show map & directions

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

Specialties & licences

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

Record details

NPI number1346601309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Taylo — Manager · (757) 252-2765
Other names Sentara Family & Internal Medicine Physicians
NPI enumeratedMarch 17, 2016
Last updated in NPPESAugust 25, 2016
Mailing address12825 Minnieville Rd, Ste 202, Lake Ridge, VA 22192-3601

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