TIDEWATER HEART INSTITUTE INC (NPI# 1225081201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225081201 |
| Entity Type | Organization |
| Organization Name | TIDEWATER HEART INSTITUTE INC |
| Practice Address |
2116 Executive Dr Hampton VA 23666-2402 |
| Practice Telephone | 7578254260 |
| Practice Fax Number | 7578254265 |
| Mailing Telephone | 7578254260 |
| Mailing Fax Number | 7578254265 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-09-04 |
| Authorized Official Name | MS. TAMMY MARTIN (CLERICAL) |
| Authorized Official Telephone | 7578254260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | TIDEWATER HEART INSTITUTE INC. | 2116 Executive Dr, Hampton, Virginia 23666-2402 |
| Street Address |
2116 EXECUTIVE DR |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174506950 | John Paul Jones | Internal Medicine | 2116 Executive Dr, Hampton, VA 23666-2402 | 2005-11-25 |
| 1164613543 | Tidewater Heart Laboratories | Specialist | 2116 Executive Dr, Hampton, VA 23666-2402 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174506950 | John Paul Jones | Internal Medicine | 2116 Executive Dr, Hampton, VA 23666-2402 | 2005-11-25 |
| 1053566794 | Riverside Physician Services, Inc | Internal Medicine | 4000 Coliseum Drive, Ste 210, Hampton, VA 23666-5975 | 2008-11-21 |
| 1518142553 | Riverside Physician Services Inc | Internal Medicine | 2112 Hartford Rd, Suite B, Hampton, VA 23666-6601 | 2008-01-09 |
| 1194830174 | Philip T Selvarayan | Internal Medicine | Va Med Ctr, 100 Emanc Dr, Hampton, VA 23667-0001 | 2006-08-20 |
| 1780642124 | Patricia A. Nahormek | Internal Medicine | 2112 Hartford Rd, Suite B, Hampton, VA 23666-6601 | 2006-05-03 |
| 1336107762 | Mark W Clark X | Internal Medicine | 2112 Hartford Rd, Suite B, Hampton, VA 23666-6601 | 2006-05-03 |
| 1730147893 | Michael F Plott | Internal Medicine | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482102 | Careclix Inc | Internal Medicine | 206 N Washington St Ste 100, Alexandria, VA 22314-2534 | 2020-03-14 |
| 1962046763 | Southpark Vascular Center | Internal Medicine | 445 Charles H Dimmock Pkwy Ste 101, Colonial Heights, VA 23834-2990 | 2019-11-05 |
| 1205496866 | United Diagnostic Services LLC | Internal Medicine | 4115 Annandale Rd Ste 301d, Annandale, VA 22003-2500 | 2019-06-17 |
| 1790348365 | Virginia Hospital Center Physician Group LLC | Internal Medicine | 1625 N George Mason Dr Ste 354, Arlington, VA 22205-3687 | 2019-04-18 |
| 1366905523 | Premier Cardiac and Vascular LLC | Internal Medicine | 5514 Alma Ln Ste 200, Springfield, VA 22151-4014 | 2019-04-12 |
| 1083133144 | Community Cardiology | Internal Medicine | 43 Rives Rd Ste 201, Petersburg, VA 23805-9255 | 2017-09-11 |
| 1306361803 | Stateline Heart and Vascular Health, Inc | Internal Medicine | 312 Fairy Street Ext Ste 101, Martinsville, VA 24112-1912 | 2017-08-07 |
| 1265954747 | Sentara Medical Group | Internal Medicine | 1933 Edwin Dr Ste 208a, Chesapeake, VA 23322-6531 | 2017-07-17 |
| 1003366618 | Bluefield Vascular Center | Internal Medicine | 970 Leatherwood Ln, Bluefield, VA 24605-2047 | 2016-10-06 |
| 1770947806 | Rajiv Ashok Kabadi | Internal Medicine | Vcuhs Department of Cards Fellowship, 980509, 1250 E. Marshall Street, Richmond, VA 23298-0509 | 2016-04-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TIDEWATER HEART INSTITUTE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.