NPI 1851488167 · live from the CMS NPI Registry
Emergency Physician Of Tidewater
General Acute Care Hospital in Virginia Beach, VA. National Provider Identifier 1851488167, active.
NPI record
| NPI | 1851488167 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | General Acute Care Hospital 282N00000X |
| Practice location | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462 |
| Practice phone | 757-467-4200 |
| Mailing address | 309 Downing Dr, Chesapeake, VA 23322 |
| Enumerated | October 6, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Aksel Keklik, Physician Assistant |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Acute Care Hospital primary | 282N00000X | 0110001528 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.