Tidewater Podiatry Group LTD

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

TIDEWATER PODIATRY GROUP LTD

Practice address

6161 Kempsville Cir
Ste 230
Norfolk, VA 23502-3932

Phone

(757) 481-6248

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jay Tischler, DPM

Title

President

Phone

(757) 481-6248

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Benjamin R Proto, DPM

  • Podiatrist
  • Newport News, VA
  • NPI 1073506291
  NPD (past)
• Steven M Taubman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Virginia Beach, VA
  • NPI 1295729663
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1356542922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 KEMPSVILLE CIR",
            "address_2": "STE 230",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023932",
            "telephone_number": "757-481-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 KEMPSVILLE CIR",
            "address_2": "STE 230",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023932",
            "telephone_number": "757-481-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER PODIATRY GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "TISCHLER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-481-6248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tidewater Kidney Specialists, Inc.
• Tidewater Pastoral Counseling Services, Inc
• Tidewater Physical Therapy LLC
• Tidewater Physical Therapy LLC
• Tidewater Physical Therapy, LLC
• Tidewater Speech and Language Services
• Tidewater Superior Home Support LLC
• Tidewater Vision Occupational Therapy PLLC
• Tidewater Weight Loss and Wellness Centers,Inc.
• Villey Ivan Tidwell

• Foot & Ankle Surgery Podiatrist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.