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

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: July 26, 2026.

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
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

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.

Behavior Analyst
4020 RAINTREE RD
CHESAPEAKE, VA 23321
Internal Medicine
4020 RAINTREE RD, SUITE B
CHESAPEAKE, VA 23321
Physical Therapist
4020 RAINTREE RD, SUITE D
CHESAPEAKE, VA 23321
Physical Therapist
4020 RAINTREE RD, STE D
CHESAPEAKE, VA 23321
Physical Therapist
4020 RAINTREE RD, SUITE D
CHESAPEAKE, VA 23321
Specialist
4020 RAINTREE RD, STE C
CHESAPEAKE, VA 23321
Audiologist
4020 RAINTREE RD, SUITE C
CHESAPEAKE, VA 23321
Internal Medicine
4020 RAINTREE RD, SUITE B
CHESAPEAKE, VA 23321

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 with the weekly NPPES data releases published by CMS.