Active NPI
Tidewater Heart Institute Inc
- Cardiovascular Disease Physician
- Hampton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Specialist
- Hampton, VA
- NPI 1164613543
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.
-
- Nurse Practitioner
- Chesapeake, VA
- NPI 1235188111
-
- Cardiovascular Disease Physician
- Hampton, VA
- NPI 1780642124
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
- Allan F. Thornton, M.D.
- Karlotta Allyce Thurman, OD
- Tidewater Diagnostic Imaging LTD
- Tidewater Family Health Centers, LTD.
- Tidewater Family Medicine, P C
- Tidewater Heart Laboratories
- Tidewater Heart Specialists, Inc.
- Tidewater Internal Medicine Associates, P.C.
- Tidewater Orthopaedic Associates
- Tidewater Orthopaedic Associates Inc
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.