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IPS OF TIDEWATER, LLC
NPI 1336400407
Nurse Anesthetist, Certified Registered in Chesapeake, VA

Active since June 05, 2012
112 GAINSBOROUGH SQ, SUITE 200, CHESAPEAKE, VA 23320(757) 547-0798(757) 547-0145 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ips Of Tidewater, Llc NPPES

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

IPS OF TIDEWATER, LLC (NPI 1336400407) is a healthcare organization registered as a nurse anesthetist, certified registered in Chesapeake, Virginia and active in the NPI registry since June 2012. The organization lists Carl R Noback, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1336400407
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameIPS OF TIDEWATER, LLC
Location Address112 GAINSBOROUGH SQ, SUITE 200Chesapeake, VA 23320-1706
Mailing AddressPo Box 864820Orlando, FL 32886-0001 · (888) 337-3509 · Fax (941) 328-3997
Phone(757) 547-0798
Fax(757) 547-0145
Organization SubpartNo
Authorized OfficialCarl R NobackMedical Director · (888) 337-3509
Enumeration DateJune 5, 2012
✔ NPI 1336400407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedAnesthesiologyTaxonomy 207L00000X
112 GAINSBOROUGH SQ, Chesapeake, VA 23320
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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.

PROF. DAVID L KREGER M.D.
Internal Medicine (Gastroenterology)
112 GAINSBOROUGH SQ, SUITE 200
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-0798
DIANA B TOLLAKSEN P.A.
Physician Assistant
112 GAINSBOROUGH SQ, SUITE 100
CHESAPEAKE, VA 23320
Chesapeake City (757) 312-8221
DR. ANTHONY VIOL M.D.
Plastic Surgery
112 GAINSBOROUGH SQ, SUITE 100
CHESAPEAKE, VA 23320
Chesapeake City (757) 549-2492

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 Ips Of Tidewater, LLC's NPI number?

The NPI number for Ips Of Tidewater, LLC is 1336400407. It was assigned to this organization in the NPPES registry on June 5, 2012.

Where is Ips Of Tidewater, LLC located?

Ips Of Tidewater, LLC is located at 112 Gainsborough Sq Suite 200, Chesapeake, VA 23320. The listed phone number is (757) 547-0798.

What is Ips Of Tidewater, LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Ips Of Tidewater, LLC was last updated on June 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.