SENTARA PEDIATRIC PHYSICIANS
NPI 1295969962
Pediatrics in Gloucester, VA

NPI Status: Active since May 11, 2009

Contact Information

5659 PARKWAY DR
SUITE 230
GLOUCESTER, VA
ZIP 23061
Phone: (804) 210-1055
Fax: (804) 210-1059

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  • Organization
  • Pediatrics

About SENTARA PEDIATRIC PHYSICIANS

This page provides the complete NPI Profile along with additional information for Sentara Pediatric Physicians, a pediatrician established in Gloucester, Virginia operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1295969962 assigned on May 2009. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Sentara Pediatric Physicians. The authorized official of this NPI record is Mrs. Cindy A Taylor (Manager)

NPI
1295969962
Provider Legal Name
SENTARA MEDICAL GROUP
Other Organization Name
SENTARA PEDIATRIC PHYSICIANS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5659 PARKWAY DR SUITE 230 GLOUCESTER, VA 23061
Location Phone
(804) 210-1055
Location Fax
(804) 210-1059
Mailing Address
5659 PARKWAY DR SUITE 230 GLOUCESTER, VA 23061
Mailing Phone
(804) 210-1055
Mailing Fax
(804) 210-1059
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-11-2009
Last Update Date
09-20-2011
Code Navigator

A pediatrician like Sentara Pediatric Physicians is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. CINDY A TAYLOR

Authorized Official Title
MANAGER
Authorized Official Phone
(757) 252-3344

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0597050029MEDICARE NSC (07)VA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295969962, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 1 + 8 + 6 + 1 + 8 + 9 + 1 + 2 + 24 = 78

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1295969962.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Family Medicine
5659 PARKWAY DR, STE 100
GLOUCESTER, VA 23061
Family Medicine
5659 PARKWAY DR, STE 210
GLOUCESTER, VA 23061
Pediatrics
5659 PARKWAY DR, STE 230
GLOUCESTER, VA 23061
Clinic/Center (Urgent Care)
5659 PARKWAY DR, SUITE 100
GLOUCESTER, VA 23061
Clinic/Center (Urgent Care)
5659 PARKWAY DR, SUITE 100
GLOUCESTER, VA 23061
Family Medicine
5659 PARKWAY DR, SUITE 210
GLOUCESTER, VA 23061
Dentist
5659 PARKWAY DR, SUITE 140
GLOUCESTER, VA 23061
Surgery
5659 PARKWAY DR, STE 200
GLOUCESTER, VA 23061
Clinical Medical Laboratory
5659 PARKWAY DR, SUITE 100
GLOUCESTER, VA 23061
Emergency Medicine
5659 PARKWAY DR, STE 100
GLOUCESTER, VA 23061
Nurse Practitioner
5659 PARKWAY DR, STE 210
GLOUCESTER, VA 23061
Internal Medicine (Cardiovascular Disease)
5659 PARKWAY DR, STE 200
GLOUCESTER, VA 23061
Psychiatry & Neurology (Neurology)
5659 PARKWAY DR, STE 230
GLOUCESTER, VA 23061
Clinic/Center
5659 PARKWAY DR
GLOUCESTER, VA 23061

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295969962, enumerated as an "organization" on May 11, 2009.

The provider is located at 5659 PARKWAY DR SUITE 230 GLOUCESTER, VA 23061 and the phone number is (804) 210-1055.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.