Keith Taylor
TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC


Address: 13347 Warwick Blvd, Newport News, VA 23602-5601
Phone: 8048774221

Keith Taylor (NPI# 1356322333, PAC ID# 8527953926) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1356322333
PAC ID by PECOS 8527953926
Professional Enrollment ID I20040216000819
Full Name Keith Taylor
Organization Legal Name TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC
Address 13347 Warwick Blvd
Newport News
VA 23602-5601
Phone Number 8048774221
Gender M
Credential MD
Medical School UMDNJ-ROBERT WOOD JOHNSON MEDICAL SCHOOL
Graduation Year 2000
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 2860398526
Number of Group Practice Members 231
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490052 RIVERSIDE REGIONAL MEDICAL CENTER
490041 BON SECOURS MARY IMMACULATE HOSPITAL
490093 SENTARA CAREPLEX HOSPITAL
490007 SENTARA NORFOLK GENERAL HOSPITAL

Other Locations

Address Phone Organization
13347 Warwick Blvd, Newport News, VA 23602-5601 8048774221 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC

Organization Information

Organization Legal Name TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC
Physicians 240

Physicians with the same organization

Name Specialty Organization Address
David Zelinskas Family Medicine Tidewater Physicians Multispecialty Group, PC 1016 Justis St, Chesapeake, VA 23325-2516
Danae Consuelo Guerra Physician Assistant Tidewater Physicians Multispecialty Group, PC 1100 Volvo Pkwy, Suite 100, Chesapeake, VA 23320-3341
Jennifer Ann Vannoy Nurse Practitioner Tidewater Physicians Multispecialty Group, PC 5399 Old Virginia St, Urbanna, VA 23175-2179
Trina S Williams Nurse Practitioner Tidewater Physicians Multispecialty Group, PC 11751 Rock Landing Dr, Suite 1, Newport News, VA 23606-4233
Stephanie Barnes Nurse Practitioner Tidewater Physicians Multispecialty Group, PC 222 Grafton Dr, Grafton, VA 23692-2152
Latoya Shant'e Kearney Nurse Practitioner Tidewater Physicians Multispecialty Group, PC 1405 Kiln Creek Pkwy K, Newport News, VA 23602-9700
Laurie Harris Family Medicine Tidewater Physicians Multispecialty Group, PC 2117 Hartford Rd, Hampton, VA 23666-2408
Jeffrey Harris Family Medicine Tidewater Physicians Multispecialty Group, PC 307 Cook Rd, Yorktown, VA 23690-9640
Pamala Suter Registered Dietitian Or Nutrition Professional Tidewater Physicians Multispecialty Group, PC 132 Professional Cir, Williamsburg, VA 23185-3374
David Deeley Family Medicine Tidewater Physicians Multispecialty Group, PC 12655 Warwick Blvd A, Newport News, VA 23606-2501

Office Location

Street Address 13347 WARWICK BLVD
City NEWPORT NEWS
State VA
Zip 23602-5601

Physicians in the same location

Name Specialty Organization Address
Kent E Willyard Family Medicine Tidewater Physicians Multispecialty Group, PC 13347 Warwick Blvd, Newport News, VA 23602-5601
Kenneth B Davis Family Medicine Tidewater Physicians Multispecialty Group, PC 13347 Warwick Blvd, Newport News, VA 23602-5601
Bryan Baines Family Medicine Tidewater Physicians Multispecialty Group, PC 13347 Warwick Blvd, Newport News, VA 23602-5601
Larry H Kagan Family Medicine Tidewater Physicians Multispecialty Group, PC 13347 Warwick Blvd, Newport News, VA 23602-5601
Robert Butcher Family Medicine Tidewater Physicians Multispecialty Group, PC 13347 Warwick Blvd, Newport News, VA 23602-5601
Karen M Hart Family Medicine Tidewater Physicians Multispecialty Group, PC 13347 Warwick Blvd, Newport News, VA 23602-5601
Joanne L Christie Family Medicine Tidewater Physicians Multispecialty Group, PC 13347 Warwick Blvd, Newport News, VA 23602-5601
Dorcas A Zuniga Family Medicine Tidewater Physicians Multispecialty Group, PC 13347 Warwick Blvd, Newport News, VA 23602-5601
Kimberly S Phillips Family Medicine Tidewater Physicians Multispecialty Group, PC 13347 Warwick Blvd, Newport News, VA 23602-5601
Caitlin Kufahl Physician Assistant Tidewater Physicians Multispecialty Group, PC 13347 Warwick Blvd, Newport News, VA 23602-5601
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Physicians in the same zip code

Name Specialty Organization Address
Veronica B Fowler Optometry Myeyedr Optometry of Virginia, Pllc 12300 Jefferson Ave, Suite 126, Newport News, VA 23602-0003
Leana Aungst Nurse Practitioner Riverside Physician Services Inc 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017
Martin A Payne Emergency Medicine Riverside Physician Services Inc 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017
Emlyne St Helen Nurse Practitioner Riverside Physician Services Inc 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017
Amanda V Chance Internal Medicine Riverside Physician Services Inc 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017
Nakita Letitia Harris Nurse Practitioner Riverside Physician Services Inc 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017
Shereka Jenkins Nurse Practitioner Riverside Physician Services Inc 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017
Dana Jean Keys Frezzell Internal Medicine Riverside Physician Services Inc 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017
Rachel M Norum Nurse Practitioner Riverside Physician Services Inc 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017
Amaris Irina Tanasescu-koga Family Medicine Riverside Physician Services Inc 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017
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Competitor

Search similar physicians

City NEWPORT NEWS
Zip Code 23602
Specialty FAMILY MEDICINE
City + Specialty NEWPORT NEWS + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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