1902848294 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC

Family Medicine Physician

Active

Basic Information

Organization Name
TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC
Enumeration Date
June 12, 2006
Last Update
December 15, 2023
Authorized Official
ANGELA WALKER
CREDENTIALING COORDINATOR
Phone: (757) 232-8769

Practice Location

Address
860 OMNI BLVD STE 401
NEWPORT NEWS, VA 236064430
Phone
(757) 232-8764

Mailing Address

Address
860 OMNI BLVD STE 128
NEWPORT NEWS, VA 236064483
Phone
(757) 232-8769
Fax
(757) 232-8875

Specialties & Taxonomies

Specialty Code Classification License State Primary
Internal Medicine Physician
207R00000X Internal Medicine N/A N/A No
Endocrinology, Diabetes & Metabolism Physician
Endocrinology, Diabetes & Metabolism
207RE0101X Internal Medicine 182340975 VA No
Gastroenterology Physician
Gastroenterology
207RG0100X Internal Medicine N/A N/A No
Nephrology Physician
Nephrology
207RN0300X Internal Medicine 223741512 VA No
Rheumatology Physician
Rheumatology
207RR0500X Internal Medicine 229641543 VA No
Obstetrics & Gynecology Physician
207V00000X Obstetrics & Gynecology N/A N/A No
Ophthalmology Physician
207W00000X Ophthalmology N/A N/A No
Orthopaedic Surgery Physician
207X00000X Orthopaedic Surgery N/A N/A No
Diagnostic Radiology Physician
Diagnostic Radiology
2085R0202X Radiology N/A N/A No
Surgery Physician
208600000X Surgery N/A N/A No
Urology Physician
208800000X Urology N/A N/A No
Foot Surgery Podiatrist
Foot Surgery
213ES0131X Podiatrist 0103300835 VA No
Clinical Medical Laboratory
291U00000X Clinical Medical Laboratory N/A N/A No
Family Medicine Physician
207Q00000X Family Medicine N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
CA6708 01 VA RAILROAD MEDICARE

Frequently Asked Questions

What is TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC's NPI number?
TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC's NPI number is 1902848294.
Which doctor has NPI number 1902848294?
The doctor with NPI number 1902848294 is TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC.
What is TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC's practice address?
TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC's practice address is 860 OMNI BLVD STE 401, NEWPORT NEWS, VA, 236064430.
Which doctor practices at 860 OMNI BLVD STE 401, NEWPORT NEWS, VA, 236064430?
TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC practices at 860 OMNI BLVD STE 401, NEWPORT NEWS, VA, 236064430.
What is TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC's mailing address?
TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC's mailing address is 860 OMNI BLVD STE 128, NEWPORT NEWS, VA, 236064483.
What is TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC's phone number?
TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC's phone number is (757) 232-8764.
Who is (757) 232-8764?
(757) 232-8764 is the phone number for TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC.
What is TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC's specialty?
TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC's specialty is Family Medicine Physician.
What type of doctor is TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC?
TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC is a Family Medicine Physician.
Is TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC a Family Medicine?
Yes, TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC is a Family Medicine.
Is TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC still practicing?
Yes, TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC is currently practicing.
Is TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC accepting new patients?
TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC may be accepting new patients. Please call their office at (757) 232-8764 to inquire about availability.
Is NPI 1902848294 still active?
Yes, NPI 1902848294 is currently active.
Where does TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC practice?
TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC practices in NEWPORT NEWS, VA.