HEADACHE INSTITUTE OF TIDEWATER LLC NPI 1235365503

NPI Information

  • NPI: 1235365503
  • Provider Name: HEADACHE INSTITUTE OF TIDEWATER LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 780 LYNNHAVEN PKWY
    SUITE 285
    VIRGINIA BEACH, VA
    ZIP 23452
  • Phone: (757) 368-1891

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NPI Details

HEADACHE INSTITUTE OF TIDEWATER LLC is a neurology psychiatry neurology in Virginia Beach, VA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. HEADACHE INSTITUTE OF TIDEWATER LLC NPI is 1235365503. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

780 LYNNHAVEN PKWY
SUITE 285
VIRGINIA BEACH, VA
ZIP 23452-332
Phone: (757) 368-1891
Fax: (757) 368-4041

The provider's authorized official is Neil L Pugach .
The authorized official title is Physician and has the following contact phone number (757) 368-1891.

The enumeration date for this NPI number is 6/1/2009 and was last updated on 6/1/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes

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: 3/30/2025

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