TIDEWATER EAR, NOSE, & THROAT, INC.
NPI 1053447839
Specialist in Chesapeake, VA

Q: What is Tidewater Ear, Nose, & Throat, Inc.'s NPI number?

The NPI number for Tidewater Ear, Nose, & Throat, Inc. is 1053447839. It was assigned to this organization in the NPPES registry on February 26, 2007.

Q: What is Tidewater Ear, Nose, & Throat, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since February 26, 2007

4020 RAINTREE RD, SUITE C, CHESAPEAKE, VA 23321(757) 488-2080(757) 405-3025 Get Directions Write a Review

NPPES record last updated: July 9, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Tidewater Ear, Nose, & Throat, Inc. NPPES

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

TIDEWATER EAR, NOSE, & THROAT, INC. (NPI 1053447839) is a healthcare organization registered as a specialist in Chesapeake, Virginia and active in the NPI registry since February 2007. The organization lists Angela Wrenn Murden, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1053447839

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameTIDEWATER EAR, NOSE, & THROAT, INC.

Location Address4020 RAINTREE RD, SUITE CChesapeake, VA 23321-3749

Mailing Address4020 Raintree Rd, Suite CChesapeake, VA 23321-3749 · (757) 488-2080 · Fax (757) 405-3025

Phone(757) 488-2080

Fax(757) 405-3025

Organization SubpartNo

Authorized OfficialAngela Wrenn MurdenInsurance Coordinator · (757) 488-2080

Enumeration DateFebruary 26, 2007

Last NPPES UpdateJuly 9, 2009

✔ NPI 1053447839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in VA · 0101016485

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4020 RAINTREE RD, Chesapeake, VA 23321

Open in Google Maps ↗

Other Identifiers 2

Medicaid006501320VA

Medicare UPINB05116VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

TROY CHAVIS SORRELL

Behavior Analyst

4020 RAINTREE RD
CHESAPEAKE, VA 23321

Chesapeake City (757) 292-4162

ELIZABETH D FORREST MD

Internal Medicine

4020 RAINTREE RD, SUITE B
CHESAPEAKE, VA 23321

Chesapeake City (757) 686-5673

KEVIN M. HESSE P.T.

Physical Therapist

4020 RAINTREE RD, SUITE D
CHESAPEAKE, VA 23321

Chesapeake City (757) 484-4241

TIDEWATER PHYSICAL THERAPY, LLC

Physical Therapist

4020 RAINTREE RD, STE D
CHESAPEAKE, VA 23321

Chesapeake City (757) 484-4241

MR. JOHN D ACKISS PT,DPT, MS,OCS

Physical Therapist

4020 RAINTREE RD, SUITE D
CHESAPEAKE, VA 23321

Chesapeake City (757) 484-4241

ERNEST AUBREY MURDEN JR. M.D.

Specialist

4020 RAINTREE RD, STE C
CHESAPEAKE, VA 23321

Chesapeake City (757) 488-2080

SHARON HOOPER MINOR

Audiologist

4020 RAINTREE RD, SUITE C
CHESAPEAKE, VA 23321

Chesapeake City (757) 488-2080

MARYVIEW HOSPITAL

Internal Medicine

4020 RAINTREE RD, SUITE B
CHESAPEAKE, VA 23321

Chesapeake City (757) 465-8450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tidewater Ear, Nose, & Throat, Inc.'s NPI number?

The NPI number for Tidewater Ear, Nose, & Throat, Inc. is 1053447839. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Tidewater Ear, Nose, & Throat, Inc. located?

Tidewater Ear, Nose, & Throat, Inc. is located at 4020 Raintree Rd Suite C, Chesapeake, VA 23321. The listed phone number is (757) 488-2080.

What is Tidewater Ear, Nose, & Throat, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tidewater Ear, Nose, & Throat, Inc. was last updated on July 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.