TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC (NPI# 1326428129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326428129 |
Entity Type | Organization |
Organization Name | TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC |
Practice Address |
860 Omni Blvd Ste 401 Newport News VA 23606-4430 |
Mailing Address |
860 Omni Blvd Ste 101 Newport News VA 23606-4430 |
Practice Telephone | 7572328764 |
Mailing Telephone | 7572328769 |
Mailing Fax Number | 7572328875 |
Enumeration Date | 2015-06-05 |
Last Update Date | 2020-02-25 |
Authorized Official Name | ANGELA WALKER (CREDENTIALING MANAGER) |
Authorized Official Telephone | 7572328769 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
0701001988 | VA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275884546 | Tidewater Physicians Multispecialty Group PC | Clinical Medical Laboratory | 860 Omni Blvd, Suite 206, Newport News, VA 23606-4430 | 2012-09-27 |
1902848294 | Tidewater Physicians Multispecialty Group PC | Internal Medicine | 860 Omni Blvd, Suite 303, Newport News, VA 23606-4430 | 2006-06-12 |
Street Address |
860 OMNI BLVD STE 401 |
City | NEWPORT NEWS |
State | VA |
Zip Code | 23606-4430 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
1457907453 | Children of The Kingdom Home Health Care Services LLC | Home Health | 11834 Cannon Blvd., Ste I-4, Newport News, VA 23606 | 2019-08-15 |
1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
1447732870 | Jean Ann Kimbrel | Counselor | 105 Nat Turner Blvd, Newport News, VA 23606 | 2018-09-01 |
1649762816 | Paige Tretter | Physical Therapist | Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 | 2018-06-04 |
1447753959 | Milov Margaret Sonnier | Social Worker | 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 | 2018-03-10 |
1033627740 | F&n Home Health Agency, LLC | Home Health | 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 | 2018-01-16 |
1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
1982043345 | Kreative Milestones Behavioral Healthcare Services | Clinic/Center | 12388 Warwick Blvd Ste 306, Newport News, VA 23606 | 2013-06-19 |
Find all providers in zip 23606 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710595624 | Jeffrey Williams | Counselor | 803 Wyemouth Dr, Newport News, VA 23602-8916 | 2020-07-16 |
1003432949 | Michelle Jan Johnson | Counselor | 602 Warwickshire Ct, Newport News, VA 23605-1134 | 2020-06-16 |
1760011993 | The Wright Place Coaching and Counseling, LLC | Counselor | 305 Peach Tree Cres, Newport News, VA 23602-7491 | 2020-04-08 |
1649819137 | Abundant Solutions LLC | Counselor | 606 Denbigh Blvd Ste 103, Newport News, VA 23608-4413 | 2019-12-31 |
1871148080 | Kelly Marie Sanchez | Counselor | 1944 Mortar Loop Apt A, Newport News, VA 23603-1507 | 2019-08-05 |
1184278962 | Ascension Counseling Services LLC | Counselor | 14203 Old Courthouse Way Ste B, Newport News, VA 23602-3749 | 2019-07-30 |
1437629045 | Frances E A Mcbride | Counselor | 11835 Fishing Point Dr Ste 202, Newport News, VA 23606-2585 | 2018-11-27 |
1447733886 | Gregory Amodeo | Counselor | 135 Nelson Dr, Newport News, VA 23601-3207 | 2018-09-12 |
1447732870 | Jean Ann Kimbrel | Counselor | 105 Nat Turner Blvd, Newport News, VA 23606 | 2018-09-01 |
1841786050 | Rachel Goodwyn | Counselor | 1 Old Oyster Point Rd Ste 250, Newport News, VA 23602-7149 | 2018-07-11 |
Find all providers in NEWPORT NEWS |
City | NEWPORT NEWS |
Zip Code | 23606 |
Please comment or provide details below to improve the information on TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC.
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.