LUNG SPECIALISTS OF TIDEWATER PLLC (NPI# 1104461896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104461896 |
Entity Type | Organization |
Organization Name | LUNG SPECIALISTS OF TIDEWATER PLLC |
Practice Address |
224 Avonlea Pointe Chesapeake VA 23322-4279 |
Practice Telephone | 7573547405 |
Mailing Telephone | 7573547405 |
Enumeration Date | 2019-11-17 |
Last Update Date | 2019-11-17 |
Authorized Official Name | DR. HIMANSHU DESAI (PHYSICIAN, OPERATING MANAGER) |
Authorized Official Telephone | 7573547405 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Street Address |
224 AVONLEA POINTE |
City | CHESAPEAKE |
State | VA |
Zip Code | 23322-4279 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417571522 | Infectious Disease Specialists Pllc | Internal Medicine | 224 Avonlea Pointe, Chesapeake, VA 23322-4279 | 2020-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154986347 | Center for Visual Surgical Excellence, LLC | Clinic/Center | 208 Carmichael Way, Chesapeake, VA 23322 | 2019-05-03 |
1235648213 | Sarah Nagy | Specialist/Technologist | 205 Rountree Drive, Chesapeake, VA 23322 | 2017-09-22 |
1629590286 | Jack Beverly Harris Jr. | Contractor | 156 Greengable Way, Chesapeake, VA 23322 | 2017-07-14 |
1528597911 | Sara Osborne | Speech-Language Pathologist | 404 Mike Trail, Chesapeake, VA 23322 | 2017-06-08 |
1194100198 | Kerry Maldiner | Marriage & Family Therapist | 501 Cedar Rd Ste 2c, Chesapeake, VA 23322 | 2015-07-21 |
1619361532 | Kathryn Restaino | Student in an Organized Health Care Education/Training Program | 705 Forest Mills Rd, Chesapeake, VA 23322 | 2015-03-28 |
1083037212 | Kenneth E. Grindlay | Dentist | 228 Mount Pleasant Rd., Chesapeake, VA 23322 | 2014-01-23 |
1841538006 | Karen Mcquarrie | Behavioral Analyst | 1200 Jamaica Avenue, Chesapeake, VA 23322 | 2013-01-23 |
1255615886 | Vera Roberts Jackson | Pharmacist | 321 Battlefield Blvd. South, Chesapeake, VA 23322 | 2011-09-30 |
1669754628 | Jacqueline Dungan | Pharmacist | 201 Hanbury Road E, Chesapeake, VA 23322 | 2011-09-15 |
Find all providers in zip 23322 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134534217 | Collins Career Center Student Based Health Center | Clinic/Center | 11627 Sate Route 243, Chesapeake, OH 45619-7962 | 2014-06-26 |
1790279651 | Chesapeake Healthcare Center | Clinic/Center | 11950 Maccorkle Ave, Chesapeake, WV 25315-1135 | 2018-06-14 |
1962952275 | Skin Renaissance | Clinic/Center | 312 Cedar Lakes Dr, Suite 103, Chesapeake, VA 23322-8374 | 2016-10-11 |
1487101747 | Healthyher Center for Womens Care | Clinic/Center | 2147 Old Greenbrier Rd, Chesapeake, VA 23320-2635 | 2016-09-04 |
1194015289 | Cox Chiropractic Wellness Center | Clinic/Center | 801 Poindexter St, Suite 219, Chesapeake, VA 23324-2358 | 2011-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225635972 | Richmond Traveler Taxi | Clinic/Center | 9808 Woodman Rd, Henrico, VA 23228-1339 | 2020-10-06 |
1265046700 | Guan Yuan Pllc | Clinic/Center | 7008 Catlett St, Springfield, VA 22151-3901 | 2020-09-02 |
1831711902 | Charlottesville Hyperbarics Corp | Clinic/Center | 925-a E Jefferson St, Charlottesville, VA 22902-5573 | 2020-05-12 |
1417579889 | Health Bridge, LLC | Clinic/Center | 4198 Cox Rd Ste 102, Glen Allen, VA 23060-3328 | 2020-05-08 |
1851924088 | First Light Clinic LLC | Clinic/Center | 706 Campbell Ave Sw, Roanoke, VA 24016-3534 | 2020-02-17 |
1912537440 | B's Integrated Clinic, Pllc | Clinic/Center | 501 Rison St Ste 100, Danville, VA 24541-2426 | 2020-01-23 |
1770122723 | Colonial Beach Health & Wellness Inc | Clinic/Center | 700 Mckinney Blvd Ste 1100, Colonial Beach, VA 22443-1934 | 2019-12-21 |
1053952846 | Mediluxe | Clinic/Center | 19349 Diamond Lake Dr, Leesburg, VA 20176-6596 | 2019-10-02 |
1720639503 | Javan Wellness Ballston LLC | Clinic/Center | 4000 Wilson Blvd Ste D, Arlington, VA 22203-4401 | 2019-09-24 |
1144879206 | Neurological Clinic, Sc | Clinic/Center | 7700 Little River Tpke Ste 605, Annandale, VA 22003-2400 | 2019-09-10 |
Find all providers with the same taxonomy |
City | CHESAPEAKE |
Zip Code | 23322 |
Please comment or provide details below to improve the information on LUNG SPECIALISTS OF TIDEWATER PLLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.