| Tidewater Gastroenterology,pllc | |
|
661 Independence Pkwy Ste 120 Chesapeake VA 23320-5164 | |
| (757) 547-0798 | |
| (757) 547-0145 |
| Full Name | Tidewater Gastroenterology,pllc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 661 Independence Pkwy Ste 120, Chesapeake, Virginia |
| Authorized Official Name and Position | Aimee Cathleen Judy (DIRECTOR, CREDENTIALING) |
| Authorized Official Contact | 9017374665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Gastroenterology,pllc Po Box 381468 Germantown TN 38183-1468 Ph: (901) 737-4665 | Tidewater Gastroenterology,pllc 661 Independence Pkwy Ste 120 Chesapeake VA 23320-5164 Ph: (757) 547-0798 |
| NPI Number | 1942300298 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 01/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942300298 | NPI | - | NPPES |
| DC5759 | Other | GA | RAILROAD MEDICARE GROUP # |
| 159372 | Other | VA | ANTHEM GROUP # |
| 131381 | Other | VA | OPTIMA GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 0101023966 (Virginia) | Primary |
Convenient Care Of Tidewater Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Gainsborough Sq, Suite 103, Chesapeake, VA 23320 Phone: 757-549-0222 | |
Maryview Hospital Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2605 Moses Grandy Trl, Suite D, Chesapeake, VA 23323 Phone: 757-485-3600 Fax: 757-485-9458 | |
Patient First Richmond Medical Group Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 N. Battlefield Blvd, Chesapeake, VA 23320 Phone: 757-547-0688 | |
Internists Of Churchland, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4041 Taylor Rd, Suite G, Chesapeake, VA 23321 Phone: 757-484-5828 Fax: 757-484-4371 | |
Advantage Family Care, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3105 American Legion Rd Ste A, Chesapeake, VA 23321 Phone: 757-686-3999 Fax: 757-686-3015 | |
Peninsula Institute For Community Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 490 Liberty St, Chesapeake, VA 23324 Phone: 757-591-0643 Fax: 757-591-0682 | |
Virginia Advanced Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Pkwy Ste 306, Chesapeake, VA 23320 Phone: 757-410-0672 |