1. Home
  2. Directory
  3. Virginia
  4. South Boston
  5. Internal Medicine
  6. NPI Profile

SENTORA SOUTHSIDE HEMATOLOGY & ONCOLOGY
NPI 1730455411
Internal Medicine - Hematology & Oncology in South Boston, VA

Active since March 28, 2012CLIA 49D0967340 · Waiver
2232 WILBORN AVE, SUITE D, SOUTH BOSTON, VA 24592(434) 517-3640(434) 517-3887 Get Directions Write a Review

NPPES record last updated: February 10, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sentora Southside Hematology & Oncology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SENTORA SOUTHSIDE HEMATOLOGY & ONCOLOGY (NPI 1730455411) is a healthcare organization registered as a hematology & oncology in South Boston, Virginia and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Cecil F Hazelwood, Manager (sdhg), as its authorized official.

NPPES Registry Identity

NPI1730455411
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameDOMINION MEDICAL HEALTH ASSOC
Location Address2232 WILBORN AVE, SUITE DSouth Boston, VA 24592
Mailing AddressP.o. Box 860South Boston, VA 24592 · (434) 517-3513 · Fax (434) 517-3887
Phone(434) 517-3640
Fax(434) 517-3887
Organization SubpartNo
Authorized OfficialCecil F HazelwoodManager (sdhg) · (434) 517-3515
Enumeration DateMarch 28, 2012
Last NPPES UpdateFebruary 10, 2015
✔ NPI 1730455411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

2232 WILBORN AVE, South Boston, VA 24592
Open in Google Maps ↗

Other Names 1

Doing Business AsSentora Southside Hematology & Oncology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0967340

Sentara Southside Hematology/Oncology · South Boston, VA
Active · expires Jun 2, 2028
CLIA Number49D0967340
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorBoris Darovsky
Laboratory Phone(434) 575-1212
Laboratory LocationSentara Southside Hematology/Oncology2232 Wilborn Avenue - Suite G, South Boston, VA 24592
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOYDTON COMMUNITY HEALTH FACILITY INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 572-4378
DAN A WILLIAMS JR.
Emergency Medicine
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3832
BRANDI S THOMPSON NP
Nurse Practitioner (Family)
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 572-8977
EDWARD S PURVIS II MD PC
Specialist
2232 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3910
NEIL SCHACHT MD HEMATOLOGY ONCOLOGY PRACTICE OF SOUTHSIDE VA PC
Internal Medicine (Hematology & Oncology)
2232 WILBORN AVE, SUITE D
SOUTH BOSTON, VA 24592
Halifax County (434) 575-1212
THOMAS M. TRUITT, M.D.P.C.
Psychiatry & Neurology (Psychiatry)
2232 WILBORN AVE, SUITE B
SOUTH BOSTON, VA 24592
Halifax County (434) 476-1819
DR. GARETH MURCHISON TITUS M.D
Specialist
2232 WILBORN AVE, SUITE A
SOUTH BOSTON, VA 24592
Halifax County (434) 572-8977
JENNIFER N BOHANON
Physician Assistant
2232 WILBORN AVE, SUITE A
SOUTH BOSTON, VA 24592
Halifax County (434) 572-8977

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominion Medical Health Assoc's NPI number?

The NPI number for Dominion Medical Health Assoc is 1730455411. It was assigned to this organization in the NPPES registry on March 28, 2012. The provider is doing business as Sentora Southside Hematology & Oncology.

Where is Dominion Medical Health Assoc located?

Dominion Medical Health Assoc is located at 2232 Wilborn Ave Suite D, South Boston, VA 24592. The listed phone number is (434) 517-3640.

What is Dominion Medical Health Assoc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Does Dominion Medical Health Assoc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0967340) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dominion Medical Health Assoc was last updated on February 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.