TIDEWATER EMERGENCY MEDICAL CARE (NPI# 1295366201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295366201 |
| Entity Type | Organization |
| Organization Name | TIDEWATER EMERGENCY MEDICAL CARE |
| Practice Address |
736 Battlefield Blvd N Chesapeake VA 23320-4941 |
| Mailing Address |
Po Box 844521 Boston MA 02284-4521 |
| Practice Telephone | 7573126200 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | LEWIS H SIEGEL (MEMBER) |
| Authorized Official Telephone | 7574909388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Chesapeake Emergency Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710991153 | Tidewater Emergency Medical Care | Emergency Medicine | 736 Battlefield Blvd N, Emergency Department, Chesapeake, VA 23320-4941 | 2006-07-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | TIDEWATER EMERGENCY MEDICAL CARE LTD. | 736 Battlefield Blvd N, Chesapeake, Virginia 23320-4941 |
| Street Address |
736 BATTLEFIELD BLVD N |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-4941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293362 | Susan Ann Maclary | Nurse Anesthetist, Certified Registered | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2005-05-30 |
| 1114525706 | Jennifer Bodine | Nurse Practitioner | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2020-10-15 |
| 1588287585 | Kyle Timothy Shipe | Nurse Anesthetist, Certified Registered | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2020-05-26 |
| 1588291124 | Gabrielle Marie Mcpherson | Registered Nurse | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2020-03-24 |
| 1609407683 | Anna Rose Lenczyk | Nurse Anesthetist, Certified Registered | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2020-01-29 |
| 1770127409 | Maria Rosario Tiglao Foronda | Nurse Practitioner | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2019-11-06 |
| 1528610276 | Stefanie Edwards Greer | Dietitian, Registered | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2019-07-12 |
| 1942867817 | Louellen Grace Klein | Registered Nurse | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2019-05-24 |
| 1275197618 | Jenny S Finck | Registered Nurse | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2019-04-30 |
| 1346803343 | Katrina Jean Griffin | Nurse Practitioner | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2019-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326596263 | Jonathan David Meadows | Physician Assistant | 1205 Pebble Rock Ct, Chesapeake, VA 23320-8245 | 2016-09-21 |
| 1932504693 | Frank Ring Kara | Physician Assistant | 640 Independence Pkwy Ste 100, Chesapeake, VA 23320-5205 | 2014-10-23 |
| 1922387992 | Terrence Stone | Physician Assistant | 1204 Rixtown Ct, Chesapeake, VA 23322-9094 | 2011-08-09 |
| 1144527581 | Megan Duet Adams | Physician Assistant | 637 Kingsborough Sq Ste E, Chesapeake, VA 23320 | 2011-02-22 |
| 1861520637 | Russell Guy Lantz | Physician Assistant | 2010 Old Greenbrier Rd Ste B, Chesapeake, VA 23320-2619 | 2007-03-01 |
| 1164471165 | Joyce Anne Lawrence-koenig | Physician Assistant | 648 Grassfield Pkwy Ste 1, Chesapeake, VA 23322-7465 | 2006-05-08 |
| 1174580534 | Robert Seamus Walsh | Physician Assistant | Phy America 1435 Crossways Blvd, Ste 305, Chesapeake, VA 23320 | 2006-04-28 |
| 1770550337 | George L Markham IIi | Physician Assistant | 3241 Western Branch Blvd, Chesapeake, VA 23321-5260 | 2006-03-02 |
| 1013982909 | Ernie L Graves | Physician Assistant | 213 River Walk Pky, Ste 101, Chesapeake, VA 23320 | 2006-02-22 |
| 1316924723 | Andrew Nelson Cheney | Physician Assistant | 1239 Cedar Rd, Chesapeake, VA 23322-7103 | 2005-12-28 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
Please comment or provide details below to improve the information on TIDEWATER EMERGENCY MEDICAL CARE.
| 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.