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TIDEWATER ORTHOPAEDIC ASSOCIATES
NPI 1154440170
Specialist in Hampton, VA

Active since March 29, 2007CLIA 49D2161827 · Waiver
901 ENTERPRISE PKWY STE 900, HAMPTON, VA 23666(757) 827-2480(757) 827-2566 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tidewater Orthopaedic Associates NPPES

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

TIDEWATER ORTHOPAEDIC ASSOCIATES (NPI 1154440170) is a healthcare organization registered as a specialist in Hampton, Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through February 11, 2027, maintains a secondary practice location in Newport News, and lists Stacey Tanner Bell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154440170
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTIDEWATER ORTHOPAEDIC ASSOCIATES
Location Address901 ENTERPRISE PKWY STE 900Hampton, VA 23666-6250
Mailing Address901 Enterprise Pkwy Ste 900Hampton, VA 23666-6250 · (757) 827-2480 · Fax (757) 299-9917
Phone(757) 827-2480
Fax(757) 827-2566
Organization SubpartNo
Authorized OfficialStacey Tanner BellCeo · (757) 827-2480
Enumeration DateMarch 29, 2007
Last NPPES UpdateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
✔ NPI 1154440170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 030451
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.
901 ENTERPRISE PKWY STE 900, Hampton, VA 23666
Open in Google Maps ↗

Secondary Practice Location 1

Location 112720 McManus Blvd Ste 101Newport News, VA 23602-4441 · Phone (757) 874-1862

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2161827

Tidewater Orthopaedics Associates · Williamsburg, VA
Active · expires Feb 11, 2027
CLIA Number49D2161827
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorHeather Mcfarland
Laboratory Phone(757) 827-2480
Laboratory LocationTidewater Orthopaedics Associates4037 Ironbound Road, Williamsburg, VA 23188
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Tidewater Orthopaedic Associates In carries, from the Medicare DMEPOS supplier directory.

Tidewater Orthopaedic Associates In

DMEPOS supplier · Hampton, VAOperated by Tidewater Orthopaedic Associates Inc.
✔

Accepts Medicare assignment

Tidewater Orthopaedic Associates In agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20676701
Medicare Participant SinceJanuary 1, 1987
Supplier Location901 Enterprise Pkwy Ste 900Hampton, VA 23666
Phone(757) 827-2480
Provider TypeAll Other Supplies (ie, Drug Stores, Etc.) · Multi-Specialty - Physician

Medicare Product Categories

Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Pneumatic Compression Devices and/or Supplies
Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance
(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies
Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Wheelchair Seating/Cushions
Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

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

DAVINA ANN GILLESPIE FNP
Nurse Practitioner (Family)
901 ENTERPRISE PKWY STE 900
HAMPTON, VA 23666
Hampton City (757) 827-2480
EVA MARIE MCEWEN PA
Physician Assistant
901 ENTERPRISE PKWY STE 900
HAMPTON, VA 23666
Hampton City (757) 827-2480
CHRISTINA VICKERS PA-C
Physician Assistant
901 ENTERPRISE PKWY STE 900
HAMPTON, VA 23666
Hampton City (757) 827-2480
TIDEWATER ORTHOPAEDIC ASSOCIATES INC
Orthopaedic Surgery
901 ENTERPRISE PKWY STE 900
HAMPTON, VA 23666
Hampton City (757) 827-2480
MACKENZIE D COBB DPT
Physical Therapist
901 ENTERPRISE PKWY STE 900
HAMPTON, VA 23666
Hampton City (757) 827-2480
ALEXANDER L DIGGES JR. PT
Physical Therapist
901 ENTERPRISE PKWY STE 900
HAMPTON, VA 23666
Hampton City (757) 827-2480
COLIN M KINGSTON M.D.
Orthopaedic Surgery (Sports Medicine)
901 ENTERPRISE PKWY STE 900
HAMPTON, VA 23666
Hampton City (757) 827-2480
KACEY M NADEAU OT
Occupational Therapist
901 ENTERPRISE PKWY STE 900
HAMPTON, VA 23666
Hampton City (757) 827-2480

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 Orthopaedic Associates's NPI number?

The NPI number for Tidewater Orthopaedic Associates is 1154440170. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Tidewater Orthopaedic Associates located?

Tidewater Orthopaedic Associates is located at 901 Enterprise Pkwy Ste 900, Hampton, VA 23666. The listed phone number is (757) 827-2480.

What is Tidewater Orthopaedic Associates's specialty?

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

Does Tidewater Orthopaedic Associates accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Tidewater Orthopaedic Associates In accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Tidewater Orthopaedic Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2161827) is associated with this NPI, valid through February 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tidewater Orthopaedic Associates was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.