TIDEWATER ORTHOPAEDIC ASSOCIATES INC (NPI# 1629629340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629629340 |
| Entity Type | Organization |
| Organization Name | TIDEWATER ORTHOPAEDIC ASSOCIATES INC |
| Practice Address |
3920a Bridge Rd Ste 305 Suffolk VA 23435-1126 |
| Practice Telephone | 7578272480 |
| Practice Fax Number | 7572999917 |
| Mailing Telephone | 7578272480 |
| Mailing Fax Number | 7572999917 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | JOHN J MCCARTHY (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7578272480 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | TIDEWATER ORTHOPAEDIC ASSOCIATES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649399650 | Tidewater Orthopaedic Associates Inc | Orthopaedic Surgery | 4037 Ironbound Rd, Williamsburg, VA 23188-2507 | 2007-03-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | TIDEWATER ORTHOPAEDIC ASSOCIATES INC. | 901 Enterprise Pkwy Ste 900, Hampton, Virginia 23666-6250 |
| Street Address |
3920A BRIDGE RD STE 305 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447676648 | Michelle O Rizzatti | Specialist | 1205 Parker Dr, Suffolk, VA 23434-2909 | 2014-03-12 |
| 1215280961 | Alexis M Gambrell | Specialist | 150 Stoney Ridge Ave, Suffolk, VA 23435-3137 | 2012-10-18 |
| 1467726810 | Specialized Education of Virginia, Inc | Specialist | 154 & 156 Burnetts Way, Suffolk, VA 23434 | 2012-03-02 |
| 1770736803 | Jeffrey Scott Lewczyk | Specialist | 6808 Ivanhoe Ct, Suffolk, VA 23435-3062 | 2008-11-03 |
| 1770772220 | Step By Step Consulting | Specialist | 156 Burnetts Way, Suffolk, VA 23434-8166 | 2007-10-22 |
| 1154510600 | Wendy Lynn Fitch | Specialist | 1011 Cherry Grove Rd N, Suffolk, VA 23432-1811 | 2007-10-22 |
| 1275693962 | Snehal Damle Md PC | Specialist | 5835 Harbour View Blvd., Suite C, Suffolk, VA 23435 | 2006-12-11 |
| 1871662452 | Robert Farris Robinson Jr. | Specialist | 3005 Bay Shore Lane, Suffolk, VA 23435-3175 | 2006-11-07 |
| 1679651772 | Helena M. Guarda | Specialist | 5131 River Club Dr Ste 110, Suffolk, VA 23435-3846 | 2006-11-02 |
| 1538194766 | Keith Cameron Nichols | Specialist | 1500 Breezeport Way, Suite 100, Suffolk, VA 23435-3727 | 2006-07-12 |
| Find all providers in SUFFOLK | ||||
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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.