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TIDEWATER KIDNEY SPECIALISTS INC. NPI 1053678839


NPI Information

NPI: 1053678839
Provider Name: TIDEWATER KIDNEY SPECIALISTS, INC.

Doing Business As: TIDEWATER VASCULAR ACCESS CENTER

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
814 KEMPSVILLE RD
SUITE 101
NORFOLK, VA
ZIP 23502
Phone: (757) 623-0005
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TIDEWATER KIDNEY SPECIALISTS, INC. is a nephrology internal medicine in Norfolk, VA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. TIDEWATER KIDNEY SPECIALISTS, INC. NPI is 1053678839. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tidewater Vascular Access Center.

The provider's business location address is:

814 KEMPSVILLE RD
SUITE 101
NORFOLK, VA
ZIP 23502-001
Phone: (757) 623-0005
Fax: (757) 548-1129

The provider's authorized official is Elizabeth F Skidmore .
The authorized official title is Practice Administrator and has the following contact phone number (757) 623-0005.

The enumeration date for this NPI number is 4/18/2012 and was last updated on 1/20/2022.


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
12085R0204XRadiologyVascular & Interventional RadiologyNo
22086S0129XSurgeryVascular SurgeryNo
3207RN0300XInternal MedicineNephrologyYes

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: 4/28/2024

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