Tiffany R Dicenso (NPI# 1124321120, PAC ID# 1951541341) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124321120 |
| PAC ID by PECOS | 1951541341 |
| Professional Enrollment ID | I20130708000679 |
| Full Name | Tiffany R Dicenso |
| Organization Legal Name | TIDEWATER INTEGRATIVE HEALTH PC |
| Address |
802 Newtown Rd Virginia Beach VA 23462-1116 |
| Phone Number | 7574970606 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5890810501 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490046 | SENTARA LEIGH HOSPITAL |
| 490057 | SENTARA VIRGINIA BEACH GENERAL HOSPITAL |
| 490120 | CHESAPEAKE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 802 Newtown Rd, Virginia Beach, VA 23462-1116 | 7574970606 | TIDEWATER INTEGRATIVE HEALTH PC |
| Organization Legal Name | TIDEWATER INTEGRATIVE HEALTH PC |
| Physicians | 1 |
| Street Address |
802 NEWTOWN RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip | 23462-1116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sue Hudson | Internal Medicine | 802 Newtown Rd, Virginia Beach, VA 23462-1116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dau T Le | Internal Medicine | 5441 Virginia Beach Blvd, Suite 111, Virginia Beach, VA 23462-1749 | |
| Samuel Robinson | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Elizabeth Runzo | Physical Therapy | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Michelle Marilyn Smith | Nurse Practitioner | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Nicholas A Midis | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| James E Dowd | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Kara P Hood | Physician Assistant | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Justin W Griffin | Orthopedic Surgery | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Megan L Hare | Physician Assistant | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Sara Alice Tyszko | Physician Assistant | Jordan-young Institute for Reconstructive Surgery and Sports | 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 |
| Find all physicians in zip 23462 | |||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | VIRGINIA BEACH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tiffany R Dicenso.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.