Tidewater Family Medicine, P C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TIDEWATER FAMILY MEDICINE, P C

Practice address

2114A Hartford Rd
Hampton, VA 23666-2409

Phone

(757) 826-3460

Fax

(757) 826-5123

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence C Hyman, MD

Title

President

Phone

(757) 826-3460

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1477680858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114A HARTFORD RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662409",
            "telephone_number": "757-826-3460",
            "fax_number": "757-826-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114A HARTFORD RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662409",
            "telephone_number": "757-826-3460",
            "fax_number": "757-826-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER FAMILY MEDICINE, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "HYMAN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-826-3460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5696615",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vonetta Coleman Thompson, LCSW
• Allan F. Thornton, M.D.
• Karlotta Allyce Thurman, OD
• Tidewater Diagnostic Imaging LTD
• Tidewater Family Health Centers, LTD.
• Tidewater Heart Institute Inc
• Tidewater Heart Laboratories
• Tidewater Heart Specialists, Inc.
• Tidewater Internal Medicine Associates, P.C.
• Tidewater Orthopaedic Associates

• Family Medicine Physician in Hampton, VA
• Providers in Hampton, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.