GASTROINTESTINAL AND LIVER SPECIALISTS OF TIDEWATER, PLLC (NPI# 1659563799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659563799 |
| Entity Type | Organization |
| Organization Name | GASTROINTESTINAL AND LIVER SPECIALISTS OF TIDEWATER, PLLC |
| Other Organization Name | DIGESTIVE AND LIVER DISEASE SPECIALISTS |
| Practice Address |
885 Kempsville Rd Suite 114 Norfolk VA 23502-3800 |
| Practice Telephone | 7574660165 |
| Practice Fax Number | 7574667296 |
| Mailing Telephone | 7574660165 |
| Mailing Fax Number | 7574667296 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2012-04-23 |
| Authorized Official Name | MRS. DINAH M PREDDY (ADMINISTRATOR) |
| Authorized Official Telephone | 7574660165 |
| Is Organization Subpart | Y |
| Parent Organization Name | GASTROINTESTINAL AND LIVER SPECIALISTS OF TIDEWATER, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Digestive and Liver Disease Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427438373 | Gastrointestinal and Liver Specialists of Tidewater, Pllc | Physician Assistant | 1020 Independence Blvd, Suite 110, Virginia Beach, VA 23455-5500 | 2015-06-05 |
| Street Address |
885 KEMPSVILLE RD SUITE 114 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938634 | Ruta Jane Skrinska | Ophthalmology | 885 Kempsville Rd, Suite 101, Norfolk, VA 23502-3800 | 2005-08-09 |
| 1740532001 | Barry Charles Lubin | Internal Medicine | 885 Kempsville Rd, Suite 221, Norfolk, VA 23502-3800 | 2012-10-11 |
| 1578841367 | Mary Immaculate Hospital | Internal Medicine | 885 Kempsville Rd, Suite 320, Norfolk, VA 23502-3800 | 2011-07-27 |
| 1659660538 | Carolyn Elizabeth Ingram | Nurse Practitioner | 885 Kempsville Rd, Suite 320, Norfolk, VA 23502-3800 | 2011-03-31 |
| 1376856898 | Mary E Sweeney | Nurse Practitioner | 885 Kempsville Rd, Suite 114, Norfolk, VA 23502-3800 | 2010-07-26 |
| 1033352547 | Rebecca L Hall | Physician Assistant | 885 Kempsville Rd, Suite 224, Norfolk, VA 23502-3800 | 2009-04-14 |
| 1760689277 | Arielle R Spitze | Ophthalmology | 885 Kempsville Rd, Suite #101, Norfolk, VA 23502-3800 | 2007-06-28 |
| 1407985641 | Urology of Virginia PC | Durable Medical Equipment & Medical Supplies | 885 Kempsville Rd, Ste304, Norfolk, VA 23502-3800 | 2007-03-05 |
| 1104971548 | Childrens Medical Group Inc | Pediatrics | 885 Kempsville Rd, Suite 200, Norfolk, VA 23502-3800 | 2007-01-24 |
| 1033263892 | Robert Milton Selden Jr. | Dentist | 885 Kempsville Rd, Suite 302, Norfolk, VA 23502-3800 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1851470553 | Nmg LLC | Internal Medicine | 3901 W Norfolk Ave Ste D, Norfolk, NE 68701-9211 | 2006-11-03 |
| 1548269483 | Alex Olabode Williams | Internal Medicine | 400 Gresham Dr, Suite 303, Norfolk, VA 23507-1901 | 2005-07-20 |
| 1306221981 | Norfolk Gastroenterology, PC | Internal Medicine | 31 Pine St, Suite # 300, Norfolk, MA 02056-1642 | 2015-07-24 |
| 1144539941 | Marechal-neil Brooks,m.d.,p.c. | Internal Medicine | 930 Majestic Ave, Ste.210, Norfolk, VA 23504-4055 | 2010-09-28 |
| 1639346083 | Fadi S Rzouq | Internal Medicine | 109 N 29th St, Ste 1, Norfolk, NE 68701-3251 | 2008-05-14 |
| 1477666147 | Caplan Colonoscopy & Endoscopy, LLC | Internal Medicine | 400 Gresham Dr, Ste 205, Norfolk, VA 23507-1901 | 2006-08-16 |
| 1629089768 | Marechal-neil Brooks | Internal Medicine | 930 Majestic Ave, Ste. 210, Norfolk, VA 23504-4055 | 2006-08-11 |
| 1154331841 | David A Dudley | Internal Medicine | 301 N 27th St, Ste 1, Norfolk, NE 68701-4457 | 2006-08-08 |
| 1558305128 | Whitney D Brooks | Internal Medicine | 885 Kempsville Rd, Suite 114, Norfolk, VA 23502-3800 | 2006-06-15 |
| 1215976154 | Kelvin Hornbuckle | Internal Medicine | 885 Kempsville Rd, Suite 114, Norfolk, VA 23502-3800 | 2006-06-06 |
| Find all providers in NORFOLK | ||||
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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.