TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC
NPI 1326428129
Counselor - Professional in Newport News, VA

Q: What is Tidewater Physicians Multispecialty Group PC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since June 05, 2015

860 OMNI BLVD STE 401, NEWPORT NEWS, VA 23606(757) 232-8764 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2021, Feb 25, 2020 (2 updates tracked since 2020).

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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 1326428129) is a healthcare organization registered as a professional in Newport News, Virginia and active in the NPI registry since June 2015. The organization lists Angela Walker, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1326428129

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameTIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC

Location Address860 OMNI BLVD STE 401Newport News, VA 23606-4430

Mailing Address11761 Rock Landing Dr Ste 8Newport News, VA 23606-4235 · (757) 232-8769 · Fax (757) 232-8875

Phone(757) 232-8764

Organization SubpartNo

Authorized OfficialAngela WalkerCredentialing Manager · (757) 232-8769

Enumeration DateJune 5, 2015

Last NPPES UpdateNovember 9, 20212 updates tracked since enumeration

NPPES CertifiedNovember 9, 2021

✔ NPI 1326428129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701001988

860 OMNI BLVD STE 401, Newport News, VA 23606

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

PHYSICIANS VALUE NETWORK, LLC

Family Medicine

860 OMNI BLVD STE 401
NEWPORT NEWS, VA 23606

Newport News City (757) 232-8764

DR. LAUREN BULL AU.D.

Audiologist

860 OMNI BLVD STE 401
NEWPORT NEWS, VA 23606

Newport News City (757) 232-8781

TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC

Family Medicine

860 OMNI BLVD STE 401
NEWPORT NEWS, VA 23606

Newport News City (757) 232-8764

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 1326428129. It was assigned to this organization in the NPPES registry on June 5, 2015.

Where is Tidewater Physicians Multispecialty Group PC located?

Tidewater Physicians Multispecialty Group PC is located at 860 Omni Blvd Ste 401, Newport News, VA 23606. The listed phone number is (757) 232-8764.

What is Tidewater Physicians Multispecialty Group PC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Tidewater Physicians Multispecialty Group PC was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.