TIDEWATER ANESTHESIA INC
NPI 1063583722
Nurse Anesthetist, Certified Registered in Virginia Beach, VA

Q: What is Tidewater Anesthesia Inc's NPI number?

The NPI number for Tidewater Anesthesia Inc is 1063583722. It was assigned to this organization in the NPPES registry on November 13, 2006.

Q: What is Tidewater Anesthesia Inc's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since November 13, 2006

1200 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454(888) 209-0305(952) 442-3620 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 20, 2020, Aug 26, 2019 (2 updates tracked since 2019).

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About Tidewater Anesthesia Inc NPPES

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

TIDEWATER ANESTHESIA INC (NPI 1063583722) is a healthcare organization registered as a nurse anesthetist, certified registered in Virginia Beach, Virginia and active in the NPI registry since November 2006. The organization lists Marsha Faison Edwards, President, as its authorized official.

NPPES Registry Identity

NPI1063583722

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameTIDEWATER ANESTHESIA INC

Location Address1200 FIRST COLONIAL RDVirginia Beach, VA 23454-2207

Mailing Address400 10th St EWaconia, MN 55387-4552 · (888) 209-0305 · Fax (952) 442-3620

Phone(888) 209-0305

Fax(952) 442-3620

Organization SubpartNo

Authorized OfficialMarsha Faison EdwardsPresident · (757) 403-6728

Enumeration DateNovember 13, 2006

Last NPPES UpdateMay 20, 20202 updates tracked since enumeration

NPPES CertifiedMay 20, 2020

✔ NPI 1063583722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1200 FIRST COLONIAL RD, Virginia Beach, VA 23454

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tidewater Anesthesia Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 12 clinicians reassign Medicare billing to Tidewater Anesthesia Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.