Tidewater Hyperbaric

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

Legal business name

TIDEWATER HYPERBARIC

Practice address

129 West Virginia Beach Blvd
Suite 140 a
Norfolk, VA 23510

Phone

(757) 452-3935

NPI assigned

Aug 25, 2017

Organization subpart

No

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

Authorized official

Name

Cara Mae Melton

Title

President

Phone

(757) 383-3728

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503619200000",
    "number": "1598282998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W VIRGINIA BEACH BLVD STE 140A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WEST VIRGINIA BEACH BLVD",
            "address_2": "SUITE 140 A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23510",
            "telephone_number": "757-452-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER HYPERBARIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "CARA MAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-383-3728"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tidewater Comprehensive Rehabilitation, PLLC
• Tidewater Dental Center, PLLC
• Tidewater Dermatopathology Service, Inc
• Tidewater Diagnostic Consultants, LLC
• Tidewater Home Care, Inc.
• Tidewater Kidney Specialists, Inc.
• Tidewater Pastoral Counseling Services, Inc
• Tidewater Physical Therapy LLC
• Tidewater Physical Therapy LLC
• Tidewater Physical Therapy, LLC

• All providers in Norfolk, VA
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.