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TIDEWATER MEDICAL SUPPLY, INC
NPI 1104923895
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Chesapeake, VA

Active since September 17, 2006
525 BYRON ST, SUITE A, CHESAPEAKE, VA 23320(757) 548-9999(757) 549-7752 Get Directions Write a Review

NPPES record last updated: March 11, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tidewater Medical Supply, Inc NPPES

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

TIDEWATER MEDICAL SUPPLY, INC (NPI 1104923895) is a healthcare organization registered as an oxygen equipment & supplies in Chesapeake, Virginia and active in the NPI registry since September 2006. The organization lists Keith Anthony Davies, President, as its authorized official.

NPPES Registry Identity

NPI1104923895
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameTIDEWATER MEDICAL SUPPLY, INC
Location Address525 BYRON ST, SUITE AChesapeake, VA 23320-7967
Mailing Address525 Byron St, Suite AChesapeake, VA 23320-7967 · (757) 548-9999 · Fax (757) 549-7752
Phone(757) 548-9999
Fax(757) 549-7752
Organization SubpartNo
Authorized OfficialKeith Anthony DaviesPresident · (757) 548-9999
Enumeration DateSeptember 17, 2006
Last NPPES UpdateMarch 11, 2010
✔ NPI 1104923895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers
Taxonomy Code332BX2000X
License✔ Licensed in VA · 0206009115
525 BYRON ST, Chesapeake, VA 23320
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Other Identifiers 3

Medicaid009117920VA
Other1258980001VA · Medicare Participating Provider Id # 1258980001 State Va Ptan #
Medicare ID-Type Unspecified1258980001

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 Medical Supply, Inc's NPI number?

The NPI number for Tidewater Medical Supply, Inc is 1104923895. It was assigned to this organization in the NPPES registry on September 17, 2006.

Where is Tidewater Medical Supply, Inc located?

Tidewater Medical Supply, Inc is located at 525 Byron St Suite A, Chesapeake, VA 23320. The listed phone number is (757) 548-9999.

What is Tidewater Medical Supply, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

When was this NPI record last updated?

The NPPES record for Tidewater Medical Supply, Inc was last updated on March 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.