TIDEWATER ORTHOPAEDIC ASSOCIATES INC (NPI# 1649399650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649399650 |
| Entity Type | Organization |
| Organization Name | TIDEWATER ORTHOPAEDIC ASSOCIATES INC |
| Practice Address |
4037 Ironbound Rd Williamsburg VA 23188-2507 |
| Mailing Address |
901 Enterprise Parkway Suite 900 Hampton VA 23666 |
| Practice Telephone | 7572061004 |
| Practice Fax Number | 7576453965 |
| Mailing Telephone | 7578272480 |
| Mailing Fax Number | 7578272566 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-05-02 |
| Authorized Official Name | STACEY TANNER BELL (ADMINISTRATOR) |
| Authorized Official Telephone | 7578272480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629629340 | Tidewater Orthopaedic Associates Inc | Orthopaedic Surgery | 3920a Bridge Rd Ste 305, Suffolk, VA 23435-1126 | 2019-09-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | TIDEWATER ORTHOPAEDIC ASSOCIATES INC. | 901 Enterprise Pkwy Ste 900, Hampton, Virginia 23666-6250 |
| Street Address |
4037 IRONBOUND RD |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316912454 | John J Mccarthy IIi | Orthopaedic Surgery | 5208 Monticello Ave, Suite 180, Williamsburg, VA 23188-8212 | 2006-02-22 |
| 1700016805 | Riverside Physician Services, Inc | Orthopaedic Surgery | 120 Kings Way, Ste 3500, Williamsburg, VA 23185-2505 | 2009-07-23 |
| 1740451251 | Thomas Durbin | Orthopaedic Surgery | 5424 Discovery Park Blvd, Suite 204, Williamsburg, VA 23188-2904 | 2008-03-13 |
| 1609944545 | Virginia Orthopedic and Sports Medicine | Orthopaedic Surgery | 5335 Discovery Park Blvd, Suite B, Williamsburg, VA 23188 | 2006-11-30 |
| 1396752770 | Robert Grant | Orthopaedic Surgery | 5424 Discovery Park Blvd, Suite 204, Williamsburg, VA 23188-2904 | 2006-08-01 |
| 1093760696 | John E Grasinger | Orthopaedic Surgery | 6601 Mooretown Rd, Ste 320, Williamsburg, VA 23188 | 2006-05-23 |
| 1508831645 | Charles E Wilhelm | Orthopaedic Surgery | 4125 Ironbound Rd, Ste 201, Williamsburg, VA 23188 | 2006-02-22 |
| 1942275094 | Alexander L Lambert II | Orthopaedic Surgery | 5335 Discovery Park Blvd Ste B, Williamsburg, VA 23188-2696 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695059 | Central Virginia Orthopaedics & Sports Medicine | Orthopaedic Surgery | 450 Garrisonville Rd Ste 101, Stafford, VA 22554-1615 | 2020-09-30 |
| 1992318067 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704 | 2020-08-28 |
| 1093324378 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 19450 Deefield Avenue, Suite 200, Leesburg, VA 20176-2017 | 2020-07-23 |
| 1285242867 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 24430 Stone Springs Blvd Unit 100, Sterling, VA 20166-2269 | 2020-07-20 |
| 1750999892 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw Ste 230, Leesburg, VA 20176-2704 | 2020-07-15 |
| 1154946093 | Orthovirgina, Inc. | Orthopaedic Surgery | 1760 Old Meadow Rd Ste 500, Mc Lean, VA 22102-4306 | 2020-06-16 |
| 1144849100 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1715 N George Mason Dr Ste 102, Arlington, VA 22205-3637 | 2020-04-10 |
| 1134748221 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 11230 Waples Mill Rd Ste 114c, Fairfax, VA 22030-5026 | 2020-04-09 |
| 1649810805 | Anderson Clinic Inc | Orthopaedic Surgery | 3299 Woodburn Rd Ste 480, Annandale, VA 22003-7333 | 2020-01-15 |
| 1871136622 | Orthovirginia Inc. | Orthopaedic Surgery | 24600 Millstream Dr Ste 380, Aldie, VA 20105-5686 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
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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.