TIDEWATER PAIN MANAGEMENT PC (NPI# 1871558270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871558270 |
| Entity Type | Organization |
| Organization Name | TIDEWATER PAIN MANAGEMENT PC |
| Other Organization Name | MARK W NEWMAN DO |
| Practice Address |
4125 Ironbound Road Suite 101 Williamsburg VA 23188-2631 |
| Practice Telephone | 7572582561 |
| Practice Fax Number | 7572585936 |
| Mailing Telephone | 7572582561 |
| Mailing Fax Number | 7572585936 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2008-04-03 |
| Authorized Official Name | DR. MARK WESLEY NEWMAN (PRESIDENT) |
| Authorized Official Telephone | 7572582561 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
0102037017 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCBS | 322590 | 01 |
| Other Name | Type Code |
|---|---|
| Mark W Newman DO | Other Name - Individual/Organization |
| Street Address |
4125 IRONBOUND ROAD SUITE 101 |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215079603 | Keith Elwood Hanger | Internal Medicine | 4125 Ironbound Road, Suite 201, Williamsburg, VA 23188 | 2007-02-13 |
| 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 | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871767459 | Mark W Newman | Pain Medicine | 223 Bulifants Blvd Ste C, Williamsburg, VA 23188-5734 | 2008-04-15 |
| 1720357247 | Hampton Roads Orthopaedics & Sports Medicine | Pain Medicine | 5335 Discovery Park Blvd Ste B, Williamsburg, VA 23188-2696 | 2011-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561493 | Margaret Ann Rickman | Pain Medicine | 80 College St Ste E, Christiansburg, VA 24073-2985 | 2020-02-27 |
| 1730749102 | Physical Medicine Associates, Ltd | Pain Medicine | 24560 Southpoint Drive, Ste. 120, Aldie, VA 20105 | 2019-06-18 |
| 1821561382 | Barton Joseph Adams | Pain Medicine | 1899 Oracle Way Apt 428, Reston, VA 20190-6735 | 2019-01-08 |
| 1114496734 | Coastal Virginia Spine and Pain Center LLC | Pain Medicine | 329 Edwin Dr Ste 100, Virginia Beach, VA 23462-4522 | 2018-11-14 |
| 1538427844 | Killpain LLC | Pain Medicine | 45929 Maries Road, Suite 100, Sterling, VA 20166 | 2012-04-25 |
| 1851617120 | Teresa Marie Kerge | Pain Medicine | 2549 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2010-04-12 |
| 1114253366 | Spinal Atrs Institute, Pllc | Pain Medicine | 11412 Georgetown Pike, Great Falls, VA 22066-1316 | 2009-10-22 |
| 1538314208 | Qi Lin | Pain Medicine | 1356 Sir Richard Rd, Virginia Beach, VA 23455-4917 | 2008-11-22 |
| 1306940028 | Blue Ridge Pain Treatment Centers | Pain Medicine | 2034 Pro Pointe Ln, Harrisonburg, VA 22801-8021 | 2006-09-12 |
| 1265441083 | Mark H Dean | Pain Medicine | 630 Peter Jefferson Pkwy Ste 170, Charlottesville, VA 22911-4624 | 2006-08-08 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
Please comment or provide details below to improve the information on TIDEWATER PAIN MANAGEMENT PC.
| 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.