Active NPI
Tidewater Family Health Centers, LTD.
- Family Medicine Physician
- Hampton, VA
National Provider Identifier
1972685303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101035848
- Legal business name
- TIDEWATER FAMILY HEALTH CENTERS, LTD.
- Practice address
- 2019 Cunningham Dr
Suite 202
Hampton, VA 23666-3323 - Phone
- (757) 827-0767
- Fax
- (757) 838-4918
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Linda Schneider, M.D.
- Title
- Physician/Owner
- Phone
- (757) 827-0767
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101035848 | VA | Primary |
Addresses
Primary practice location
2019 Cunningham Dr
Suite 202
Hampton, VA 23666-3323
Mailing address
2019 Cunningham Dr
Suite 202
Hampton, VA 23666-3323
Phone (757) 827-0767
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA9887 | Other | VA | RAILROAD |
| 859682 | Other | VA | MAMSI |
| 859682 | Other | VA | UNITED HEALTHCARE |
| 088742 | Other | VA | BCBS |
| 3036076 | Other | VA | CIGNA |
| 670405 | Other | VA | OPTIMA |
National Provider Directory
National Provider DirectoryLocations
2019 Cunningham Dr
Ste 202
Hampton, VA 23666
Phone (757) 827-0767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1972685303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2019 CUNNINGHAM DR",
"address_2": "SUITE 202",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236663323",
"telephone_number": "757-827-0767",
"fax_number": "757-838-4918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2019 CUNNINGHAM DR",
"address_2": "SUITE 202",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236663323",
"telephone_number": "757-827-0767",
"fax_number": "757-838-4918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIDEWATER FAMILY HEALTH CENTERS, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "SCHNEIDER",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "757-827-0767",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "VA",
"license": "0101035848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "CA9887",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "859682",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "859682",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "088742",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3036076",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "670405",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.