Tidewater Internal Medicine and Hypertension Center. PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TIDEWATER INTERNAL MEDICINE AND HYPERTENSION CENTER. PLC

Practice address

1100 Smokey Mountain TRL
Chesapeake, VA 23320-8147

Phone

(757) 351-3400

Fax

(757) 351-3400

NPI assigned

Sep 13, 2007

Last updated

Aug 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jieming Yan, M.D.NPI 1003814732

Title

President

Phone

(757) 351-3400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jieming Yan, MD

  • Internal Medicine Physician
  • Chesapeake, VA
  • NPI 1003814732
  Authorized official Same address or phone

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1437344306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SMOKEY MOUNTAIN TRL STE 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233208147",
            "telephone_number": "757-351-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SMOKEY MOUNTAIN TRL",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233208147",
            "telephone_number": "757-351-3400",
            "fax_number": "757-351-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6315 N Center Dr",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235024006",
            "country_code": "US",
            "telephone_number": "757-351-3400",
            "fax_number": "757-351-3859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIDEWATER INTERNAL MEDICINE AND HYPERTENSION CENTER. PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "JIEMING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-351-3400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tidewater Home Modifiers LLC
• Tidewater Medical Clinic PC
• Tidewater Medical Supply, Inc
• Tidewater Physical Therapy, Inc.
• Tidewater Physical Therapy, LLC (Pivot Physical Therapy of Virginia)
• Tidewater Physical Therapy, LLC

• Internal Medicine Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.