Jordan Thaddeus Romero (NPI# 1740502145, PAC ID# 2668772781) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1740502145 |
| PAC ID by PECOS | 2668772781 |
| Professional Enrollment ID | I20170503001061 |
| Full Name | Jordan Thaddeus Romero |
| Organization Legal Name | TIDEWATER PSYCHOTHERAPY SERVICES |
| Address |
260 Grayson Rd Suite 100 Virginia Beach VA 23462-4345 |
| Phone Number | 7574991947230 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2009 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 9335128305 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 260 Grayson Rd, Suite 100, Virginia Beach, VA 23462-4345 | 7574991947230 | TIDEWATER PSYCHOTHERAPY SERVICES |
| Organization Legal Name | TIDEWATER PSYCHOTHERAPY SERVICES |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Costello | Clinical Social Worker | Tidewater Psychotherapy Services | 240 Business Park Dr, Virginia Beach, VA 23462-6521 |
| Yongbing Larry Pu | Neuropsychiatry | Tidewater Psychotherapy Services | 260 Grayson Rd, Suite 100, Virginia Beach, VA 23462-4345 |
| Louise Boyd Friedman | Clinical Social Worker | Tidewater Psychotherapy Services | 260 Grayson Rd, Suite 100, Virginia Beach, VA 23462-4345 |
| Stephen G Cunningham | Psychiatry | Tidewater Psychotherapy Services | 260 Grayson Rd, Suite 100, Virginia Beach, VA 23462-4345 |
| Jeffrey H Morse | Psychiatry | Tidewater Psychotherapy Services | 260 Grayson Rd, Suite 100, Virginia Beach, VA 23462-4345 |
| Lara S Kain | Physician Assistant | Tidewater Psychotherapy Services | 260 Grayson Rd, Suite 100, Virginia Beach, VA 23462-4345 |
| Robert L Daniel | Clinical Psychologist | Tidewater Psychotherapy Services | 240 Business Park Dr, Suite 100, Virginia Beach, VA 23462-6521 |
| Catherine A Greene | Clinical Psychologist | Tidewater Psychotherapy Services | 240 Business Park Dr, Suite 100, Virginia Beach, VA 23462-6521 |
| Street Address |
260 GRAYSON RD SUITE 100 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip | 23462-4345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yongbing Larry Pu | Neuropsychiatry | Tidewater Psychotherapy Services | 260 Grayson Rd, Suite 100, Virginia Beach, VA 23462-4345 |
| Louise Boyd Friedman | Clinical Social Worker | Tidewater Psychotherapy Services | 260 Grayson Rd, Suite 100, Virginia Beach, VA 23462-4345 |
| Stephen G Cunningham | Psychiatry | Tidewater Psychotherapy Services | 260 Grayson Rd, Suite 100, Virginia Beach, VA 23462-4345 |
| Jeffrey H Morse | Psychiatry | Tidewater Psychotherapy Services | 260 Grayson Rd, Suite 100, Virginia Beach, VA 23462-4345 |
| Lara S Kain | Physician Assistant | Tidewater Psychotherapy Services | 260 Grayson Rd, Suite 100, Virginia Beach, VA 23462-4345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sue Hudson | Internal Medicine | 802 Newtown Rd, Virginia Beach, VA 23462-1116 | |
| Tiffany R Dicenso | Nurse Practitioner | Tidewater Integrative Health PC | 802 Newtown Rd, Virginia Beach, VA 23462-1116 |
| 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 |
| Find all physicians in zip 23462 | |||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
| Specialty | PSYCHIATRY |
| City + Specialty | VIRGINIA BEACH + PSYCHIATRY |
Please comment or provide details below to improve the information on Jordan Thaddeus Romero.
| 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.