TIDEWATER INTEGRATED MEDICAL SERVICES, PLLC (NPI# 1528007010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528007010 |
| Entity Type | Organization |
| Organization Name | TIDEWATER INTEGRATED MEDICAL SERVICES, PLLC |
| Practice Address |
Virginia Beach General Hospital 1060 First Colonial Rd Virginia Beach VA 23450 |
| Mailing Address |
Po Box 2546 Virginia Beach VA 23450-2546 |
| Practice Telephone | 7573403489 |
| Practice Fax Number | 7573404278 |
| Mailing Telephone | 7573403489 |
| Mailing Fax Number | 7573404278 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-03-09 |
| Authorized Official Name | DR. EDWARD THOMAS (DOCTOR) |
| Authorized Official Telephone | 7573403489 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1528007010 | 05 |
| Street Address |
VIRGINIA BEACH GENERAL HOSPITAL 1060 FIRST COLONIAL RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245074 | Jason Schatti | Student in an Organized Health Care Education/Training Program | 1540 Gallery Ave, Virginia Beach, VA 23454-5605 | 2020-11-08 |
| 1801497037 | Miriam Matthews | Social Worker | 503 Arbre Ct, Virginia Beach, VA 23451-6001 | 2020-11-04 |
| 1356941181 | Amy H Drescher LLC | Counselor | 3615 Atlantic Ave Apt 302, Virginia Beach, VA 23451-2749 | 2020-10-30 |
| 1316547268 | Brynn Arica Carey | Speech-Language Pathologist | Laskin Road Annex, 1413 Laskin Road, Virginia Beach, VA 23451 | 2020-10-29 |
| 1881294783 | Amy K Volk | Nurse Practitioner | 272 Bendix Rd Ste 100, Virginia Beach, VA 23452-1380 | 2020-10-29 |
| 1629678735 | Stephanie Ellzey | Counselor | 4169 Virginia Beach Blvd Ste 150, Virginia Beach, VA 23452-1783 | 2020-10-28 |
| 1730789108 | Chelsea Rae Edmondson | Physical Therapist | 2728 Virginia Beach Blvd, Virginia Beach, VA 23452-7615 | 2020-10-27 |
| 1871192500 | Caitie Rae Warren | Student in an Organized Health Care Education/Training Program | 3856 Banyan Grove Ln Apt 102, Virginia Beach, VA 23462-7486 | 2020-10-23 |
| 1386243004 | Amanda Lin Bliek | Physical Therapist | 816 Independence Blvd Ste 3f, Virginia Beach, VA 23455-6010 | 2020-10-23 |
| 1053910216 | Melanie Ann Scaggs | Registered Nurse | 2100 Cricket Ct, Virginia Beach, VA 23454-2805 | 2020-10-20 |
| Find all providers in VIRGINIA BEACH | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629422423 | Paris Ethan Pacheco | Internal Medicine | 1168 First Colonial Rd Ste 200, Virginia Beach, VA 23454-2444 | 2016-04-18 |
| 1477991529 | Leonardo Martin Oliva | Internal Medicine | 1060 First Colonial Rd Fl 1, Virginia Beach, VA 23454-3002 | 2013-06-11 |
| 1982940482 | Hilltop Healthcare LLC | Internal Medicine | 2132 Retreat Ct, Virginia Beach, VA 23454-2256 | 2013-01-02 |
| 1992071096 | Ravinderpal K Gill | Internal Medicine | 2901 S Lynnhaven Rd Ste 450, Virginia Beach, VA 23452 | 2012-03-22 |
| 1881962645 | Bert Wellington Holmes IIi | Internal Medicine | 1253 Nimmo Pkwy, Suite 110, Virginia Beach, VA 23456-7782 | 2011-12-08 |
| 1831483445 | Stella Alice Goings | Internal Medicine | 3908 Lake Front Cir, Suite 201, Virginia Beach, VA 23452-2712 | 2011-06-01 |
| 1063722510 | David S Haden Md PC | Internal Medicine | 5505 Indian River Rd Ste 101, Virginia Beach, VA 23464-5252 | 2010-10-18 |
| 1710293212 | Tidewater Integrative Health PC | Internal Medicine | 802 North Newtown Rd, Virginia Beach, VA 23462-1116 | 2010-08-23 |
| 1821316688 | Brian Joseph Lipps | Internal Medicine | 3074 Brickhouse Ct, Virginia Beach, VA 23452-6859 | 2010-05-04 |
| 1851627129 | Amy Marie Goodrich-harris | Internal Medicine | 2008 Winding Lake Ct, Virginia Beach, VA 23456-6305 | 2009-10-21 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23450 |
Please comment or provide details below to improve the information on TIDEWATER INTEGRATED MEDICAL SERVICES, 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.