Tidewater Orthopaedic Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

030451 Issued in VA

Legal business name

TIDEWATER ORTHOPAEDIC ASSOCIATES

Practice address

901 Enterprise Pkwy Ste 900
Hampton, VA 23666-6250

Phone

(757) 827-2480

Fax

(757) 827-2566

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Stacey Tanner Bell

Title

Ceo

Phone

(757) 827-2480

Specialties & licenses 1

Addresses

Tax ID family

Tidewater Orthoped Asso3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Tidewater Orthopaedic Associates Inc

  • Physical Therapist
  • Hampton, VA
  • NPI 1538234810
  NPD tax ID
• Tidewater Orthopaedic Associates Occupational Therapy

  • Occupational Therapist
  • Hampton, VA
  • NPI 1649345927
  NPD tax ID

Practitioners 2

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

• Theresa L Shipley, OTR/L, CHT

  • Occupational Therapist
  • Hampton, VA
  • NPI 1366534885
  NPD (past)
• Carla M Lofton

  • Physical Therapist
  • Stockton, CA
  • NPI 1568551406
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1154440170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PKWY STE 900",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666250",
            "telephone_number": "757-827-2480",
            "fax_number": "757-299-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PKWY STE 900",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666250",
            "telephone_number": "757-827-2480",
            "fax_number": "757-827-2566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12720 McManus Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236024441",
            "country_code": "US",
            "telephone_number": "757-874-1862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIDEWATER ORTHOPAEDIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "TANNER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-827-2480"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "030451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tidewater Family Medicine, P C
• Tidewater Heart Institute Inc
• Tidewater Heart Laboratories
• Tidewater Heart Specialists, Inc.
• Tidewater Internal Medicine Associates, P.C.
• Tidewater Orthopaedic Associates Inc
• Tidewater Orthopaedic Associates Inc
• Tidewater Orthopaedic Associates Occupational Therapy
• Tidewater Physical Therapy, LLC
• Tidewater Physical Therapy, LLC

• Specialist in Hampton, VA
• Providers in Hampton, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.