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TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC
NPI 1316790512
Clinic/Center - Ambulatory Surgical in Williamsburg, VA

Active since April 08, 2024
5424 DISCOVERY PARK BOULEVARD BUILDING A, SUITE 101, BUILDING A, SUITE 101, WILLIAMSBURG, VA 23322(757) 707-3505 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2025, Apr 8, 2024 (2 updates tracked since 2024).

About Tidewater Physicians Multispecialty Group Pc NPPES

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

TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC (NPI 1316790512) is a healthcare organization registered as an ambulatory surgical in Williamsburg, Virginia and active in the NPI registry since April 2024. The organization maintains a secondary practice location in Newport News and lists Cecilia C Quintero, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1316790512
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC
Location Address5424 DISCOVERY PARK BOULEVARD BUILDING A, SUITE 101, BUILDING A, SUITE 101Williamsburg, VA 23322
Mailing Address860 Omni Blvd Ste 128Newport News, VA 23606-4483 · (757) 232-8769
Phone(757) 707-3505
Organization SubpartNo
Authorized OfficialCecilia C QuinteroCredentialing Manager · (757) 964-8739
Enumeration DateApril 8, 2024
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1316790512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
5424 DISCOVERY PARK BOULEVARD BUILDING A, SUITE 101, Williamsburg, VA 23322
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Other Names 2

Other NameTpmg Newport News Procedure Suite
Other NameTpmg-williamsburg Procedure Suite

Secondary Practice Location 1

Location 1860 Omni Blvd Ste 104Newport News, VA 23606-4430 · Phone (757) 659-6285

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 Physicians Multispecialty Group PC's NPI number?

The NPI number for Tidewater Physicians Multispecialty Group PC is 1316790512. It was assigned to this organization in the NPPES registry on April 8, 2024. The provider is also known as TPMG Newport News Procedure Suite and TPMG-Williamsburg Procedure Suite.

Where is Tidewater Physicians Multispecialty Group PC located?

Tidewater Physicians Multispecialty Group PC is located at 5424 Discovery Park Boulevard Building A, Suite 101 Building A, Suite 101, Williamsburg, VA 23322. The listed phone number is (757) 707-3505.

What is Tidewater Physicians Multispecialty Group PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Tidewater Physicians Multispecialty Group PC was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.