| Tidewater Infectious Disease Physicians | |
|
6160 Kempsville Cir Ste 325a Norfolk VA 23502-3933 | |
| (757) 354-2885 | |
| (757) 917-5141 |
| Full Name | Tidewater Infectious Disease Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 6160 Kempsville Cir Ste 325a, Norfolk, Virginia |
| Authorized Official Name and Position | Amir Hajimomenian (SOLE MEMBER) |
| Authorized Official Contact | 7573542885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Infectious Disease Physicians 6160 Kempsville Cir Ste 325a Norfolk VA 23502-3933 Ph: (757) 354-2885 | Tidewater Infectious Disease Physicians 6160 Kempsville Cir Ste 325a Norfolk VA 23502-3933 Ph: (757) 354-2885 |
| NPI Number | 1083222129 |
|---|---|
| Provider Enumeration Date | 07/15/2020 |
| Last Update Date | 09/21/2020 |
| Medicare PECOS PAC ID | 3971921206 |
|---|---|
| Medicare Enrollment ID | O20200917001919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083222129 | NPI | - | NPPES |
| Provider Name | Amir Hajimomenian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497735112 PECOS PAC ID: 3577558527 Enrollment ID: I20040419000622 |
| Provider Name | Rodrigo L C Romulo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467565614 PECOS PAC ID: 3870561590 Enrollment ID: I20040921000539 |
| Provider Name | Martha Mooney |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902872203 PECOS PAC ID: 2466405188 Enrollment ID: I20050222000981 |
| Provider Name | Donice B Libby |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629115506 PECOS PAC ID: 1658464144 Enrollment ID: I20070829000315 |
| Provider Name | Rahel T Amare |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982618211 PECOS PAC ID: 8325134653 Enrollment ID: I20091210000137 |
| Provider Name | Daniel Cohen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780694448 PECOS PAC ID: 1153509146 Enrollment ID: I20110621000809 |
| Provider Name | James K Radike |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619948833 PECOS PAC ID: 2365622909 Enrollment ID: I20170619000446 |
| Provider Name | Katerina Basiliadis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760941587 PECOS PAC ID: 5294068789 Enrollment ID: I20190617000838 |
| Provider Name | Leigh R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225673585 PECOS PAC ID: 8022442623 Enrollment ID: I20200107000122 |
| Provider Name | Jaime Lyn Dail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073089249 PECOS PAC ID: 9537594783 Enrollment ID: I20200115002095 |
| Provider Name | Jason Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699385849 PECOS PAC ID: 5799105227 Enrollment ID: I20201021001983 |
Velocity Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1326 E Little Creek Rd, Norfolk, VA 23518 Phone: 757-772-6122 Fax: 757-267-9194 | |
Long Term Care Of Tidewater Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502 Phone: 757-917-5356 Fax: 757-917-5141 | |
E Haque Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Kingsley Ln, Suite 209, Norfolk, VA 23505 Phone: 757-489-3911 | |
Bon Secours Ghent Station Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 W 21st St Ste 100, Norfolk, VA 23517 Phone: 757-622-8358 Fax: 757-622-9662 | |
Hendon Family Chiropractic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 957 W 21st St Ste F, Norfolk, VA 23517 Phone: 757-305-9996 | |
Bruce J Kleiman Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 208 E. Plume Street, Suite 213, Norfolk, VA 23510 Phone: 757-685-6151 Fax: 757-961-8385 | |
Medical Care Plus, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6204 N Military Hwy, Norfolk, VA 23518 Phone: 757-855-1900 Fax: 757-855-2272 |