Tidewater Physicians Multispecialty Group PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC

Practice address

11751 Rock Landing Dr Ste 6
Newport News, VA 23606-4233

Phone

(757) 327-0657

Fax

(757) 327-0658

NPI assigned

Feb 19, 2009

Last updated

Oct 8, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PCAs reported in NPPES

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

Authorized official

Name

Cecilia Quintero

Title

Credentialing Manager

Phone

(757) 964-8739

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Tidewater Physicians Multispecialty Group PC

  • Durable Medical Equipment & Medical Supplies
  • VA Beach, VA
  • NPI 1568236859

  2860398526

  Same PAC ID
• Tidewater Physicians Multispecialty Group PC

  • Durable Medical Equipment & Medical Supplies
  • Williamsburg, VA
  • NPI 1851530851

  2860398526

  Same PAC ID
• Tidewater Physicians Multispecialty Group PC

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1902848294

  2860398526

  Same PAC ID

Part of

Frederick Robinson III

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1598904294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 8",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064434",
            "telephone_number": "757-964-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11751 ROCK LANDING DR STE 6",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064233",
            "telephone_number": "757-327-0657",
            "fax_number": "757-327-0658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5424 Discovery Park Boulevard",
            "address_2": "Building B, Suite 105",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "23188",
            "country_code": "US",
            "telephone_number": "757-345-5270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4421 Virginia Beach Blvd Ste 114",
            "address_purpose": "LOCATION",
            "city": "VA Beach",
            "state": "VA",
            "postal_code": "234623114",
            "country_code": "US",
            "telephone_number": "757-963-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC",
        "enumeration_date": "2009-02-19",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "QUINTERO",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "757-964-8739"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tidewater Institute of NLP
• Tidewater Physical Therapy, LLC
• Tidewater Physical Therapy, LLC
• Tidewater Physical Therapy, LLC
• Tidewater Physicians Multispecialty Group PC
• Tidewater Physicians Multispecialty Group PC
• Lauren Elizabeth Tidwell, CRNA
• Anita Rosemary Tieman, LPC
• Carolyn Foster Tighe, ED.D,LMFT,LPC
• Tiffany Tillery

• Durable Medical Equipment & Medical Supplies in Newport News, VA
• Providers in Newport News, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.