NPIMap

Organization Active NPI

Children's Health Associates of Tidewater

  • Pediatrics Physician
  • Chesapeake, VA
National Provider Identifier
1417196759
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDREN'S HEALTH ASSOCIATES OF TIDEWATER
Practice address
513 Baylor CT
Chesapeake, VA 23320-3824
Phone
(757) 436-2300
NPI assigned
Feb 10, 2009
Last updated
Feb 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Dr. Ogubuike Emejuru, M.DNPI 1184634446
Title
Owner
Phone
(757) 436-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

513 Baylor CT
Chesapeake, VA 23320-3824

Mailing address

513 Baylor CT
Chesapeake, VA 23320-3824
Phone (757) 436-2300

Other identifiers 1

IdentifierTypeStateIssuer
006713173MedicaidVA

National Provider Directory

National Provider Directory

Locations

680 Kingsborough Sq
Chesapeake, VA 23320
Phone (757) 549-8059

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6174/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1417196759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BAYLOR CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203824",
            "telephone_number": "757-436-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BAYLOR CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203824",
            "telephone_number": "757-436-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HEALTH ASSOCIATES OF TIDEWATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "EMEJURU",
        "authorized_official_first_name": "OGUBUIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-436-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006713173",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.