Tidewaterhealth360 PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TIDEWATERHEALTH360 PLLC

Practice address

1081 Kempsville Rd
Chesapeake, VA 23320-8126

Phone

(757) 376-8460

NPI assigned

Mar 7, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Corpin Cajes, MDNPI 1073776027

Title

President

Phone

(757) 376-8460

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Corpin Cajes, MD

  • Internal Medicine Physician
  • Virginia Beach, VA
  • NPI 1073776027
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1134876337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 SAGE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564419",
            "telephone_number": "757-376-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 KEMPSVILLE RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233208126",
            "telephone_number": "757-376-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATERHEALTH360 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "CAJES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CORPIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-376-8460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tidewater Therapy for Children, PC
• Tidewater Therapy for Children, PC
• Tidewater Therapy for Children, PC
• Tidewater Therapy for Children, PC
• Tidewater TLC Family Care PLLC
• Leon Tillery, CRNAP
• Desmond Tillmon
• Felix P Tiongco, M.D.
• Shannon Katherine Tipton, RESIDENT IN COUNSELI
• Tis Home Care

• Internal Medicine Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.