Tidewater Internal Medicine Associates, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TIDEWATER INTERNAL MEDICINE ASSOCIATES, P.C.

Practice address

2115 Executive Dr
Suite 4-B
Hampton, VA 23666-2499

Phone

(757) 838-2891

Fax

(757) 838-6108

NPI assigned

Mar 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lind W. Chinnery, M.D.

Title

President

Phone

(757) 838-2891

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thaddeus G Sutton, MD

  • Internal Medicine Physician
  • Hampton, VA
  • NPI 1558321349
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639138365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11768",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232300168",
            "telephone_number": "804-353-4000",
            "fax_number": "804-213-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 EXECUTIVE DR",
            "address_2": "SUITE 4-B",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662499",
            "telephone_number": "757-838-2891",
            "fax_number": "757-838-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER INTERNAL MEDICINE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHINNERY",
        "authorized_official_first_name": "LIND",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-838-2891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C05867",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tidewater Family Health Centers, LTD.
• Tidewater Family Medicine, P C
• Tidewater Heart Institute Inc
• Tidewater Heart Laboratories
• Tidewater Heart Specialists, Inc.
• Tidewater Orthopaedic Associates
• Tidewater Orthopaedic Associates Inc
• Tidewater Orthopaedic Associates Inc
• Tidewater Orthopaedic Associates Occupational Therapy
• Tidewater Physical Therapy, LLC

• Internal Medicine Physician in Hampton, VA
• Providers in Hampton, 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 22, 2020; 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.