TIDEWATER HYPERBARIC


Address: 129 West Virginia Beach Blvd, Suite 140 A, Norfolk, VA 23510
Phone: 7574523935

TIDEWATER HYPERBARIC (NPI# 1598282998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598282998
Entity Type Organization
Organization Name TIDEWATER HYPERBARIC
Practice Address 129 West Virginia Beach Blvd
Suite 140 A
Norfolk
VA 23510
Mailing Address 129 W Virginia Beach Blvd Ste 140a
Norfolk
VA 23510-2030
Practice Telephone 7574523935
Enumeration Date 2017-08-25
Last Update Date 2017-08-25
Authorized Official Name CARA MAE MELTON (PRESIDENT)
Authorized Official Telephone 7573833728
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0011X Preventive Medicine
Specialization: Undersea and Hyperbaric Medicine
Allopathic & Osteopathic Physicians

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Tidewater Hyperbaric LLC 129 W. Virginia Beach Blvd., Suite 140, Norfolk, Virginia 23510

Office Location

Street Address 129 WEST VIRGINIA BEACH BLVD
SUITE 140 A
City NORFOLK
State VA
Zip Code 23510

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Taxonomy Information

Taxonomy Code 2083P0011X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Undersea and Hyperbaric Medicine

Taxonomy Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine.

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NPI Name Taxonomy Address Enumeration
1790753515 Andrei Gursky Preventive Medicine 4900 Seminary Road, Suite 100, Alexandria, VA 22311-1836 2006-03-09
1740253251 John Ligush Jr. Preventive Medicine 595 Martha Jefferson Dr Ste 270, Charlottesville, VA 22911-4669 2006-02-08
1891766465 Anne R Mcdonough Preventive Medicine 720 River Strand, Chesapeake, VA 23320-2015 2006-01-31
1083056964 Virginia Hospital Center Physician Group, LLC Preventive Medicine 1701 N George Mason Dr, Wound Care Suite G200, Arlington, VA 22205-3610 2013-07-22
1568809713 Virginia Integrative Health, LLC Preventive Medicine 410 Pine St Se, Suite 320, Vienna, VA 22180-4861 2013-05-29
1447415625 Brian M Showalter Preventive Medicine 595 Martha Jefferson Dr Ste 280, Charlottesville, VA 22911 2008-07-27
1558524777 Lane A. Ritter Preventive Medicine 500 Martha Jefferson Dr Fl 5, Charlottesville, VA 22911 2008-07-08
1902834948 Centra Health Professional Services, LLC Preventive Medicine 3300 Rivermont Ave, Lynchburg, VA 24503-2030 2006-06-29
1215980545 Jonathan Titus Preventive Medicine 2501 Parkers Ln, Alexandria, VA 22306-3209 2006-05-18
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Competitor

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City NORFOLK
Zip Code 23510

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Dataset Information

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.

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