PULMONARY CONSULTANTS OF TIDEWATER PC (NPI# 1700938750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700938750 |
| Entity Type | Organization |
| Organization Name | PULMONARY CONSULTANTS OF TIDEWATER PC |
| Practice Address |
113 Gainsborough Sq Suite 300 Chesapeake VA 23320-1713 |
| Practice Telephone | 7575479451 |
| Practice Fax Number | 7575471405 |
| Mailing Telephone | 7575479451 |
| Mailing Fax Number | 7575471405 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2012-02-14 |
| Authorized Official Name | DR. STEVEN HOWARD KAUFMAN (PRESIDENT) |
| Authorized Official Telephone | 7575479451 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
0101031986 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8902473 | 05 | |
| VA | ANTHEM | 042676 | 01 |
| VA | RAILROAD MEDICARE | CA6719 | 01 |
| NC | BLUE CROSS AND BLUE SHIEL | 02473 | 01 |
| VA | OWCP | 149069300 | 01 |
| Street Address |
113 GAINSBOROUGH SQ SUITE 300 |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669980 | David J West | Internal Medicine | 113 Gainsborough Sq, Ste 300, Chesapeake, VA 23320-1714 | 2005-06-14 |
| 1629322615 | Chesapeake Family Dental | Dentist | 113 Gainsborough Sq, Suite 101, Chesapeake, VA 23320-1713 | 2012-10-30 |
| 1225310550 | Sharon Y. Colvin, D.d.s., P.c | Dentist | 113 Gainsborough Sq, Suite 101, Chesapeake, VA 23320-1713 | 2011-09-13 |
| 1326377490 | Commonwealth Plastic Surgery, P.C. | Plastic Surgery | 113 Gainsborough Sq, Suite 400, Chesapeake, VA 23320-1713 | 2009-12-18 |
| 1679739312 | Osama Shoueb Modjadidi | Dentist | 113 Gainsborough Sq, Suite 101, Chesapeake, VA 23320-1713 | 2008-08-01 |
| 1235393737 | Reena Nandita Tahilramani | Surgery | 113 Gainsborough Sq, Chesapeake, VA 23320-1713 | 2008-07-14 |
| 1063688117 | Stephen Hsiang-han Lin | Surgery | 113 Gainsborough Sq, Suite 400, Chesapeake, VA 23320-1713 | 2008-05-07 |
| 1326222779 | Brian Seth Buchberg | Colon & Rectal Surgery | 113 Gainsborough Sq, Suite 400, Chesapeake, VA 23320-1713 | 2007-12-20 |
| 1437331725 | Sentara Medical Group | Urology | 113 Gainsborough Sq, Ste 202, Chesapeake, VA 23320-1713 | 2007-11-29 |
| 1215067111 | Urology of Virginia PC | Durable Medical Equipment & Medical Supplies | 113 Gainsborough Sq, Ste 202, Chesapeake, VA 23320-1713 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1467478727 | Rajnish Dhawan | Internal Medicine | 300 Medical Pkwy Ste 208, Chesapeake, VA 23320-4985 | 2006-07-13 |
| 1396709655 | Michelle Marie Perello | Internal Medicine | 4053 Taylor Rd Ste N, Chesapeake, VA 23321-5526 | 2006-04-13 |
| 1306847652 | Vandana Apruva Patel | Internal Medicine | 4053 Taylor Rd, Suite N, Chesapeake, VA 23321-5537 | 2005-08-09 |
| 1154624211 | Maryview Hospital | Internal Medicine | 4053 Taylor Rd Ste N, Chesapeake, VA 23321-5526 | 2010-12-13 |
| 1396953469 | Manojkumar D Patel | Internal Medicine | 725 Volvo Pkwy, Ste 102, Chesapeake, VA 23320-1621 | 2007-05-20 |
| 1437255510 | Portsmouth Pulmonary Associates, Ltd | Internal Medicine | 4053 Taylor Rd, Suite N, Chesapeake, VA 23321-5537 | 2006-09-15 |
| 1861507121 | Eldridge Hopkins Derring Jr. | Internal Medicine | 113 Gainsborough Sq, Suite 300, Chesapeake, VA 23320-1713 | 2006-08-20 |
| 1720097728 | Steven Howard Kaufman | Internal Medicine | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2006-08-07 |
| 1184626947 | Eric Jonathan Freeman | Internal Medicine | 4053 Taylor Rd, Ste N, Chesapeake, VA 23321-5537 | 2005-08-11 |
| 1356342877 | Ellis Franklin Maxey Jr. | Internal Medicine | 4053 Taylor Rd, Suite N, Chesapeake, VA 23321-5537 | 2005-08-09 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
Please comment or provide details below to improve the information on PULMONARY CONSULTANTS OF TIDEWATER 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.