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TIDEWATER HEART SPECIALISTS, INC.
NPI 1417992686
Specialist in Hampton, VA

Active since June 19, 2006
2112 HARTFORD RD STE B, HAMPTON, VA 23666(757) 827-7754 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Tidewater Heart Specialists, Inc. NPPES

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

TIDEWATER HEART SPECIALISTS, INC. (NPI 1417992686) is a healthcare organization registered as a specialist in Hampton, Virginia and active in the NPI registry since June 2006. The organization lists Mark W Clark, President, as its authorized official.

NPPES Registry Identity

NPI1417992686
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTIDEWATER HEART SPECIALISTS, INC.
Location Address2112 HARTFORD RD STE BHampton, VA 23666-6601
Mailing Address2112 Hartford Rd Ste BHampton, VA 23666-6601
Phone(757) 827-7754
Organization SubpartNo
Authorized OfficialMark W ClarkPresident · (757) 827-7754
Enumeration DateJune 19, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1417992686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
2112 HARTFORD RD STE B, Hampton, VA 23666
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DONNA BERNICE ALLEN-PEEBLES NP
Nurse Practitioner (Family)
2112 HARTFORD RD STE B
HAMPTON, VA 23666
Hampton City (757) 827-7754

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 Heart Specialists, Inc.'s NPI number?

The NPI number for Tidewater Heart Specialists, Inc. is 1417992686. It was assigned to this organization in the NPPES registry on June 19, 2006.

Where is Tidewater Heart Specialists, Inc. located?

Tidewater Heart Specialists, Inc. is located at 2112 Hartford Rd Ste B, Hampton, VA 23666. The listed phone number is (757) 827-7754.

What is Tidewater Heart Specialists, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Tidewater Heart Specialists, Inc. was last updated on July 21, 2022. 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.