TIDEWATER VASCULAR ACCESS CENTER LLC (NPI# 1477898369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477898369 |
| Entity Type | Organization |
| Organization Name | TIDEWATER VASCULAR ACCESS CENTER LLC |
| Practice Address |
814 Kempsville Rd Suite 101 Norfolk VA 23502-4001 |
| Practice Telephone | 7574558512 |
| Practice Fax Number | 7574558516 |
| Mailing Telephone | 7574558512 |
| Mailing Fax Number | 7574558516 |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |
| Authorized Official Name | ABDUL W CHAUDHRY (MEMBER) |
| Authorized Official Telephone | 7574558512 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
814 KEMPSVILLE RD SUITE 101 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742037 | Abdul W Chaudhry | Internal Medicine | 814 Kempsville Rd, Suite 102 Bldg 17, Norfolk, VA 23502-4001 | 2005-07-07 |
| 1932569837 | Leslie Olivier | Nurse Practitioner | 814 Kempsville Rd, Suite 104, Norfolk, VA 23502-4001 | 2016-03-04 |
| 1053678839 | Tidewater Kidney Specialists, Inc. | Internal Medicine | 814 Kempsville Rd, Suite 101, Norfolk, VA 23502-4001 | 2012-04-18 |
| 1104988328 | Brian Shanklin Weaver | Anesthesiology | 814 Kempsville Rd, Suite 104, Norfolk, VA 23502-4001 | 2006-12-14 |
| 1205834405 | Wei D. Zhao | Internal Medicine | 814 Kempsville Rd, Suite 102 Bldg 17, Norfolk, VA 23502-4001 | 2005-07-12 |
| 1629075569 | Nancy L Allison | Internal Medicine | 814 Kempsville Rd, Suite 102 Bldg 17, Norfolk, VA 23502-4001 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914164 | Hampton Roads Radiology Associates, PC | Radiology | 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 | 2020-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295232726 | Reston Radiology Consultants Interventional Services, LLC | Radiology | 4001 Fair Ridge Dr Ste 103, Fairfax, VA 22033-2917 | 2018-04-11 |
| 1356789622 | Robert John Reyes | Radiology | 9300 Dewitt Loop Rm 53.218, Fort Belvoir, VA 22060-5285 | 2013-06-10 |
| 1992071385 | Elden Paul Iverson | Radiology | Radiology Associates of Richmond, Inc., 2602 Buford Road, North Chesterfield, VA 23235-3422 | 2012-03-29 |
| 1336372903 | Healthqare Services, LLC | Radiology | 3833 N. Fairfax Drive, Suite 400, Arlington, VA 22203-1774 | 2009-08-31 |
| 1306075064 | Auh Whan Park | Radiology | Lee Sreet Fl 1, Charlottesville, VA 22908-0001 | 2009-07-02 |
| 1407947898 | American Access Care of Richmond LLC | Radiology | 2235 Staples Mill Rd, Richmond, VA 23230-2942 | 2006-09-28 |
| 1073531786 | Magnetic Resonance Imaging Associates of Va, PC | Radiology | 2001 N Beauregard St, Suite 200, Alexandria, VA 22311-1739 | 2006-07-18 |
| 1902823727 | Virginia Vascular Imaging LLC | Radiology | 1201 Sam Perry Blvd # B, Ste 265, Fredericksburg, VA 22401-4490 | 2006-07-16 |
| 1225554900 | Association of University Radiologists, PC | Radiology | 310 3rd St Ne, Norton, VA 24273-1137 | 2017-08-15 |
| 1720451438 | Fresenius Vascular Care Petersburg LLC | Radiology | 445 Charles H Dimmock Pkwy, Suite 101, Colonial Heights, VA 23834-2970 | 2015-11-03 |
| Find all providers with the same taxonomy | ||||
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| 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.