TIDEWATER GASTROENTEROLOGY, PLLC (NPI# 1396869517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396869517 |
| Entity Type | Organization |
| Organization Name | TIDEWATER GASTROENTEROLOGY, PLLC |
| Practice Address |
1101 First Colonial Rd Suite 300 Virginia Beach VA 23454-2409 |
| Practice Telephone | 7574814817 |
| Practice Fax Number | 7579635585 |
| Mailing Telephone | 7574814817 |
| Mailing Fax Number | 7579635585 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRENDA STRICKLAND (ADMINISTRATOR) |
| Authorized Official Telephone | 7574814817 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1101 FIRST COLONIAL RD SUITE 300 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23454-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487630653 | Jonathan Lee Hindman | Dermatology | 1101 First Colonial Rd, Suite 200, Virginia Beach, VA 23454-2409 | 2005-12-20 |
| 1912351404 | Stacy Utton | Registered Nurse | 1101 First Colonial Rd, Ste. 300, Virginia Beach, VA 23454-2409 | 2016-04-20 |
| 1053548826 | Caitlyn Molino Patrick | Internal Medicine | 1101 First Colonial Rd, Suite 400, Virginia Beach, VA 23454-2409 | 2009-06-18 |
| 1689841637 | George H Pop | Internal Medicine | 1101 First Colonial Rd, Suite 300, Virginia Beach, VA 23454-2409 | 2008-05-09 |
| 1336279884 | Samuel Yoselevitz | Internal Medicine | 1101 First Colonial Rd, Suite 400, Virginia Beach, VA 23454-2409 | 2007-03-06 |
| 1477695740 | Art & Science of Ob-gyn, P.C. | Obstetrics & Gynecology | 1101 First Colonial Rd, Suite 100, Virginia Beach, VA 23454-2409 | 2007-02-13 |
| 1063576569 | Michelle S. Barron | Nurse Practitioner | 1101 First Colonial Rd, Suite 300, Virginia Beach, VA 23454-2409 | 2006-12-20 |
| 1093736464 | Kathryn Marie Klump | Nurse Practitioner | 1101 First Colonial Rd, Suite 300, Virginia Beach, VA 23454-2409 | 2006-07-21 |
| 1922041953 | Joseph Sumner Bell IIi | Internal Medicine | 1101 First Colonial Rd, Suite 300, Virginia Beach, VA 23454-2409 | 2006-06-14 |
| 1609819200 | James W Rawles | Internal Medicine | 1101 First Colonial Rd, Suite 300, Virginia Beach, VA 23454-2409 | 2006-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
| 1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
| 1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| Find all providers in zip 23454 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659885945 | R. Valentine, Jr., LLC | Specialist | 700 Independence Cir Ste 2a, Virginia Beach, VA 23455-6405 | 2017-11-22 |
| 1104281104 | Mary Jane Beachum | Specialist | 3833 Old Forge Rd, Virginia Beach, VA 23452 | 2015-12-18 |
| 1376913376 | Urology of Virginia, Pllc | Specialist | 229 Clearfield Ave, Suite 300, Virginia Beach, VA 23462-1815 | 2015-10-02 |
| 1598105199 | Ave' Maria Bullard | Specialist | 5998 Providence Rd, Suite 106, Virginia Beach, VA 23464-3824 | 2013-06-27 |
| 1205120169 | Yuko Kimura | Specialist | 2001 Concert Dr, Virginia Beach, VA 23456-8088 | 2011-06-07 |
| 1528371531 | Victoria A Battaglia | Specialist | 1725 Meredith Rd, Virginia Beach, VA 23455-3224 | 2010-07-19 |
| 1225341571 | Jacqueline Michelle Parsons | Specialist | 2317 Beach Haven Dr Apt 103, Virginia Beach, VA 23451-1257 | 2010-07-15 |
| 1831415512 | Rene' Johnson | Specialist | 700 Baker Road, Suite 115, Virginia Beach, VA 23462 | 2010-04-20 |
| 1083941652 | Nancy Suzanne Harris-kroll | Specialist | 909 First Colonial Rd, Virginia Beach, VA 23454-3111 | 2009-11-03 |
| 1194957647 | Erica Steele | Specialist | 1209 Independence Blvd Ste 101, Virginia Beach, VA 23455-5569 | 2009-08-18 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
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| 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.