Tidewater Nephrology LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101027286 Issued in VA

Legal business name

TIDEWATER NEPHROLOGY LTD

Practice address

1800 Camelot Dr
Suite 401
Virginia Beach, VA 23454-2440

Phone

(757) 496-3706

Fax

(757) 496-3715

NPI assigned

Aug 5, 2006

Last updated

Mar 9, 2011By 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

David Walker Best, MD

Title

Ceo/President.

Phone

(757) 496-3706

Specialties & licenses 2

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1467461822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CAMELOT DR",
            "address_2": "SUITE 401",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542440",
            "telephone_number": "757-496-3706",
            "fax_number": "757-496-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CAMELOT DR",
            "address_2": "SUITE 401",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542440",
            "telephone_number": "757-496-3706",
            "fax_number": "757-496-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER NEPHROLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "BEST",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "CEO/PRESIDENT.",
        "authorized_official_telephone_number": "757-496-3706",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101027286",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101027286",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006046983",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "BLUE CROSS BLUE SHIE",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tidewater Integrated Medical Services, PLLC
• Tidewater Integrative Health PC
• Tidewater Kidney Specialists, Inc.
• Tidewater Lactation Group, Inc.
• Tidewater Medical Care PC
• Tidewater Pathology Inc
• Tidewater Pca Training
• Tidewater Ped. Consultants, PC
• Tidewater Pelvic Health
• Tidewater Physical Therapy, LLC (Pivot Physical Therapy of Virginia)

• Internal Medicine Physician in Virginia Beach, VA
• Providers in Virginia Beach, 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 Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.