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

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: August 09, 2026.

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

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
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

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 8

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

Dermatology
1200 FIRST COLONIAL RD, SUITE 200
VIRGINIA BEACH, VA 23454
Clinic/Center (Ambulatory Surgical)
1200 FIRST COLONIAL RD, SUITE 104
VIRGINIA BEACH, VA 23454
Urology
1200 FIRST COLONIAL RD, STE 100G
VIRGINIA BEACH, VA 23454
Nurse Practitioner (Family)
1200 FIRST COLONIAL RD, SUITE 202
VIRGINIA BEACH, VA 23454
Surgery (Plastic and Reconstructive Surgery)
1200 FIRST COLONIAL RD, SUITE 100
VIRGINIA BEACH, VA 23454
General Acute Care Hospital
1200 FIRST COLONIAL RD, SUITE 204A
VIRGINIA BEACH, VA 23454
Clinic/Center (Medical Specialty)
1200 FIRST COLONIAL RD, SUITE 200
VIRGINIA BEACH, VA 23454
Dentist (Endodontics)
1200 FIRST COLONIAL RD, SUITE #201
VIRGINIA BEACH, VA 23454

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 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.

Where is Tidewater Anesthesia Inc located?

Tidewater Anesthesia Inc is located at 1200 First Colonial Rd, Virginia Beach, VA 23454. The listed phone number is (888) 209-0305.

What is Tidewater Anesthesia Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Tidewater Anesthesia Inc was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.