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EAR,NOSE&THROAT OF TIDEWATER INC
NPI 1467533109
Otolaryngology in Suffolk, VA

Active since October 18, 2006
2790 GODWIN BLVD, SUITE 205, SUFFOLK, VA 23434(757) 934-7753 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ear,nose&throat Of Tidewater Inc NPPES

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

EAR,NOSE&THROAT OF TIDEWATER INC (NPI 1467533109) is a healthcare organization registered as an otolaryngology in Suffolk, Virginia and active in the NPI registry since October 2006. The organization lists John Patrick Lyle, President, as its authorized official.

NPPES Registry Identity

NPI1467533109
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameEAR,NOSE&THROAT OF TIDEWATER INC
Location Address2790 GODWIN BLVD, SUITE 205Suffolk, VA 23434-8151
Mailing Address1109 Pine Valley DrSuffolk, VA 23434-6232
Phone(757) 934-7753
Organization SubpartNo
Authorized OfficialJohn Patrick LylePresident · (757) 934-7753
Enumeration DateOctober 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1467533109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2790 GODWIN BLVD, Suffolk, VA 23434
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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 20

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

SENTARA MEDICAL GROUP
Psychiatry & Neurology (Neurology)
2790 GODWIN BLVD, SUITE 235
SUFFOLK, VA 23434
Suffolk City (757) 934-4580
SENTARA MEDICAL GROUP
Urology
2790 GODWIN BLVD, SUITE 320
SUFFOLK, VA 23434
Suffolk City (757) 686-1973
DR. MICHAEL CLARENCE BLAKE M.D.
Surgery
2790 GODWIN BLVD, STE 305
SUFFOLK, VA 23434
Suffolk City (757) 934-4222
MARY KATHERINE WILLIAMS CNM
Advanced Practice Midwife
2790 GODWIN BLVD, SUITE 360
SUFFOLK, VA 23434
Suffolk City (757) 539-3911
THERESA G SMITH
Midwife
2790 GODWIN BLVD, SUITE 360
SUFFOLK, VA 23434
Suffolk City (757) 539-3911
RICHARD KAYE D.O.
Psychiatry & Neurology (Psychiatry)
2790 GODWIN BLVD, SUITE 300
SUFFOLK, VA 23434
Suffolk City (757) 925-1433
MRS. LISA POWELL PERRY RNC WHNP
Registered Nurse (Women's Health Care, Ambulatory)
2790 GODWIN BLVD, SUITE 375
SUFFOLK, VA 23434
Suffolk City (757) 923-4500
TYKISHA MICHELLE FOSTER CSAC
Counselor (Addiction (Substance Use Disorder))
2790 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (833) 510-4357

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 Ear,nose&throat Of Tidewater Inc's NPI number?

The NPI number for Ear,nose&throat Of Tidewater Inc is 1467533109. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Ear,nose&throat Of Tidewater Inc located?

Ear,nose&throat Of Tidewater Inc is located at 2790 Godwin Blvd Suite 205, Suffolk, VA 23434. The listed phone number is (757) 934-7753.

What is Ear,nose&throat Of Tidewater Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Ear,nose&throat Of Tidewater Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.