LONG TERM CARE OF TIDEWATER PC
NPI 1033154430
Internal Medicine in Norfolk, VA

Q: What is Long Term Care Of Tidewater PC's NPI number?

The NPI number for Long Term Care Of Tidewater PC is 1033154430. It was assigned to this organization in the NPPES registry on June 19, 2006.

Q: What is Long Term Care Of Tidewater PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 19, 2006

6160 KEMPSVILLE CIR STE 325A, NORFOLK, VA 23502(757) 917-5356(757) 917-5141 Get Directions Write a Review

NPPES record last updated: November 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2019, Aug 1, 2019, Jul 8, 2019 and 1 more (4 updates tracked since 2019).

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About Long Term Care Of Tidewater Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONG TERM CARE OF TIDEWATER PC (NPI 1033154430) is a healthcare organization registered as an internal medicine in Norfolk, Virginia and active in the NPI registry since June 2006. The organization lists Jayne Walter, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1033154430

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLONG TERM CARE OF TIDEWATER PC

Location Address6160 KEMPSVILLE CIR STE 325ANorfolk, VA 23502-3933

Mailing Address110 Kingsley Ln Ste 312Norfolk, VA 23505-4618 · (757) 917-5356 · Fax (757) 917-5141

Phone(757) 917-5356

Fax(757) 917-5141

Organization SubpartNo

Authorized OfficialJayne WalterCredentialing · (757) 917-5356

Enumeration DateJune 19, 2006

Last NPPES UpdateNovember 1, 20194 updates tracked since enumeration

✔ NPI 1033154430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedNurse PractitionerTaxonomy 363L00000X

6160 KEMPSVILLE CIR STE 325A, Norfolk, VA 23502

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Other Identifiers 1

OtherCK3562VA · Railroad Medicare Group #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA BRYANT FNP-C

Family Medicine