Tidewater Nephrology Ltd
LBN: Tidewater Nephrology Ltd
Tidewater Nephrology Ltd is an health care organization with primary practice located at 1800 Camelot Dr Suite 401, Virginia Beach VA 23454-2440. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Tidewater Nephrology Ltd can be contacted via phone (757) 496-3706, or through Best, David Walker via phone (757) 496-3706.
Contact Information
Primary practice address
1800 Camelot Dr Suite 401
Virginia Beach VA 23454-2440
Phone: (757) 496-3706
Fax: (757) 496-3715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101027286 | Virginia |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 0101027286 | Virginia |
Profile Details
| NPI number | 1467461822 |
|---|---|
| LBN Legal business name | Tidewater Nephrology Ltd |
| DBA Doing business as | |
| Authorized official | Best, David Walker Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Mar 9th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467461822 | NPPES |
| Virginia | MEDICAID | 006046983 | |
| Virginia | Other | BLUE CROSS BLUE SHIE |
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