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TIDEWATER MEDICAL CLINIC PC
NPI 1467579482
Internal Medicine in Chesapeake, VA

Active since March 23, 2007
111 COASTAL WAY, CHESAPEAKE, VA 23320(757) 549-9671(757) 549-6802 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tidewater Medical Clinic Pc NPPES

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

TIDEWATER MEDICAL CLINIC PC (NPI 1467579482) is a healthcare organization registered as an internal medicine in Chesapeake, Virginia and active in the NPI registry since March 2007. The organization lists Luis G. Carpio, President, as its authorized official.

NPPES Registry Identity

NPI1467579482
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTIDEWATER MEDICAL CLINIC PC
Location Address111 COASTAL WAYChesapeake, VA 23320-4603
Mailing Address111 Coastal WayChesapeake, VA 23320-4603 · (757) 549-9671 · Fax (757) 549-6802
Phone(757) 549-9671
Fax(757) 549-6802
Organization SubpartNo
Authorized OfficialLuis G. CarpioPresident · (757) 549-9671
Enumeration DateMarch 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1467579482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101055402
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
111 COASTAL WAY, Chesapeake, VA 23320
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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.

LUIS GIMPAYA CARPIO M.D.
Internal Medicine
111 COASTAL WAY
CHESAPEAKE, VA 23320
Chesapeake City (757) 549-9671

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 Medical Clinic PC's NPI number?

The NPI number for Tidewater Medical Clinic PC is 1467579482. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Tidewater Medical Clinic PC located?

Tidewater Medical Clinic PC is located at 111 Coastal Way, Chesapeake, VA 23320. The listed phone number is (757) 549-9671.

What is Tidewater Medical Clinic PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Tidewater Medical Clinic PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.