Organization Active NPI

Tidewater Heart Institute Inc

  • Cardiovascular Disease Physician
  • Hampton, VA
National Provider Identifier
1225081201
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
TIDEWATER HEART INSTITUTE INC
Practice address
2116 Executive Dr
Hampton, VA 23666-2402
Phone
(757) 825-4260
Fax
(757) 825-4265
NPI assigned
May 18, 2006
Last updated
Sep 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Ms. Tammy Martin
Title
Clerical
Phone
(757) 825-4260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

2116 Executive Dr
Hampton, VA 23666-2402

Mailing address

2116 Executive Dr
Hampton, VA 23666-2402
Phone (757) 825-4260

National Provider Directory

National Provider Directory

Locations

2115 Executive Dr
#1B
Hampton, VA 23666
Phone (757) 825-4260

2115 Executive Dr
Bldg 1
Hampton, VA 23666
Phone (804) 825-4260

2116 Executive Dr
Hampton, VA 23666
Phone (757) 224-4233

12720 McManus Blvd
Ste 205
Newport News, VA 23602
Phone (757) 825-4260

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1225081201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 EXECUTIVE DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662402",
            "telephone_number": "757-825-4260",
            "fax_number": "757-825-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 EXECUTIVE DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662402",
            "telephone_number": "757-825-4260",
            "fax_number": "757-825-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER HEART INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CLERICAL",
        "authorized_official_telephone_number": "757-825-4260",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.