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TIDEWATER ORTHOPAEDIC ASSOCIATES INC NPI 1225058548


NPI Information

NPI: 1225058548
Provider Name: TIDEWATER ORTHOPAEDIC ASSOCIATES INC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
901 ENTERPRISE PKWY STE 900
HAMPTON, VA
ZIP 23666
Phone: (757) 827-2480
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TIDEWATER ORTHOPAEDIC ASSOCIATES INC is an orthopaedic surgery in Hampton, VA. The provider is 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. TIDEWATER ORTHOPAEDIC ASSOCIATES INC NPI is 1225058548. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

901 ENTERPRISE PKWY STE 900
HAMPTON, VA
ZIP 23666-250
Phone: (757) 827-2480
Fax: (757) 827-2566

The provider's authorized official is Stacey Tanner Bell .
The authorized official title is Ceo and has the following contact phone number (757) 827-2480.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 3/22/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery78013VIRGINIAYes
2261QP2000XClinic/CenterPhysical TherapyNo
3261QX0100XClinic/CenterOccupational MedicineNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
164835OTHERVIRGINIASENTARA THERAPY GROUP#
23001514667-0004MEDICAIDVIRGINIA
3453382OTHERVIRGINIAANTHEM GROUP NUMBER
4192680OTHERVIRGINIAANTHEM OT GROUP#
5CF1964OTHERMEDICARE RR GROUP NUMBER
63001514667-0001MEDICAIDVIRGINIA
73001514667-0005MEDICAIDVIRGINIA
8371277300OTHERUS DEPT OF LABOR GROUP#
9463139OTHERVIRGINIAANTHEM PT GROUP NUMBER
10500002OTHERVIRGINIASENTARA VENDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.