Minimally Invasive Surgery Center of Tidewater

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0101058403 Issued in VA

Legal business name

MINIMALLY INVASIVE SURGERY CENTER OF TIDEWATER

Practice address

160 Kingsley LN
Suite 205
Norfolk, VA 23505-4600

Phone

(757) 889-6680

Fax

(757) 889-6686

NPI assigned

Nov 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robert C Knowles, M.D.

Title

General Surgeon

Phone

(757) 889-6680

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1861728461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 KINGSLEY LN",
            "address_2": "SUITE 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054600",
            "telephone_number": "757-889-6680",
            "fax_number": "757-889-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 KINGSLEY LN",
            "address_2": "SUITE 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054600",
            "telephone_number": "757-889-6680",
            "fax_number": "757-889-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE SURGERY CENTER OF TIDEWATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "757-889-6680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101058403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Mills, OTR/L
• David Scott Milot, D.C.
• Alyssa Kimberly Milvo
• Mind Your Healing LLC
• Mindful Meg Counseling LLC
• James W Mink, MD
• Nealy Minson, MD
• Elizabeth Minsterman
• Candace Sampson Minter, PHARMD
• Katrina Minutello, DO

• Surgery Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.