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TIDEWATER SKIN CARE AND PATHOLOGY PC
NPI 1215269097
Dermatology in Virginia Beach, VA

Active since February 04, 2010
1157 FIRST COLONIAL RD, SUITE 300, VIRGINIA BEACH, VA 23454(757) 333-8001(757) 333-8002 Get Directions Write a Review

NPPES record last updated: December 20, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tidewater Skin Care And Pathology Pc NPPES

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

TIDEWATER SKIN CARE AND PATHOLOGY PC (NPI 1215269097) is a healthcare organization registered as a dermatology in Virginia Beach, Virginia and active in the NPI registry since February 2010. The organization lists Padman A Menon, President, as its authorized official.

NPPES Registry Identity

NPI1215269097
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameTIDEWATER SKIN CARE AND PATHOLOGY PC
Location Address1157 FIRST COLONIAL RD, SUITE 300Virginia Beach, VA 23454-2432
Mailing Address1157 First Colonial Rd, Suite 300Virginia Beach, VA 23454-2432 · (757) 333-8001 · Fax (757) 333-8002
Phone(757) 333-8001
Fax(757) 333-8002
Organization SubpartNo
Authorized OfficialPadman A MenonPresident · (757) 825-1846
Enumeration DateFebruary 4, 2010
Last NPPES UpdateDecember 20, 2010
✔ NPI 1215269097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in VA · 0101022994✔ Licensed in NC · 200301017
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1157 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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

HAIDR AGHA M.D.
Internal Medicine (Nephrology)
1157 FIRST COLONIAL RD, STE 200
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 623-0005
THERAPY CHOICE
Specialist
1157 FIRST COLONIAL RD, SUITE 301
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 422-6342
IVYREHAB SEPT, LLC
Physical Therapist
1157 FIRST COLONIAL RD, SUTE 201
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 481-0052
DR. BARBARA ANN GELPI MD
Internal Medicine (Nephrology)
1157 FIRST COLONIAL RD, SUITE 200
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 623-0005
MRS. AMANDA VICTORIA LEO MOT, OTR/L
Occupational Therapist
1157 FIRST COLONIAL RD, SUITE 301
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 422-6342
LEFCOE,WEINSTEIN,SACHS,SCHIFF
Dentist (General Practice)
1157 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 412-1114
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Dentist (General Practice)
1157 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 416-5977
SURABHI LOOMBA
Dentist (Pediatric Dentistry)
1157 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 416-5977

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 Skin Care And Pathology PC's NPI number?

The NPI number for Tidewater Skin Care And Pathology PC is 1215269097. It was assigned to this organization in the NPPES registry on February 4, 2010.

Where is Tidewater Skin Care And Pathology PC located?

Tidewater Skin Care And Pathology PC is located at 1157 First Colonial Rd Suite 300, Virginia Beach, VA 23454. The listed phone number is (757) 333-8001.

What is Tidewater Skin Care And Pathology PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Tidewater Skin Care And Pathology PC was last updated on December 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.