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TIDEWATER INTEGRATED MEDICAL SERVICES PLLC NPI 1528007010


NPI Information

NPI: 1528007010
Provider Name: TIDEWATER INTEGRATED MEDICAL SERVICES, PLLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
VIRGINIA BEACH GENERAL HOSPITAL
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA
ZIP 23450
Phone: (757) 340-3489
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TIDEWATER INTEGRATED MEDICAL SERVICES, PLLC is an internal medicine in Virginia Beach, VA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. TIDEWATER INTEGRATED MEDICAL SERVICES, PLLC NPI is 1528007010. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

VIRGINIA BEACH GENERAL HOSPITAL
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA
ZIP 23450
Phone: (757) 340-3489
Fax: (757) 340-4278

The provider's authorized official is Edward Thomas .
The authorized official title is Doctor and has the following contact phone number (757) 340-3489.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 3/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & RehabilitationNo
2207RC0200XInternal MedicineCritical Care MedicineNo
3207RG0300XInternal MedicineGeriatric MedicineNo
4207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11528007010MEDICAIDVIRGINIA
2C06289MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.