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PLASTIC SURGERY ASSOCIATES OF TIDEWATER
NPI 1528420429
Nurse Practitioner - Family in Suffolk, VA

Active since March 22, 2016
5818 HARBOUR VIEW BLVD, SUITE 200, SUFFOLK, VA 23435(757) 673-6000(757) 673-6007 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Plastic Surgery Associates Of Tidewater NPPES

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

PLASTIC SURGERY ASSOCIATES OF TIDEWATER (NPI 1528420429) is a healthcare organization registered as a family in Suffolk, Virginia and active in the NPI registry since March 2016. The organization lists Samantha Marie Persson, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1528420429
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePLASTIC SURGERY ASSOCIATES OF TIDEWATER
Location Address5818 HARBOUR VIEW BLVD, SUITE 200Suffolk, VA 23435-3315
Mailing Address5818 Harbour View Blvd, Suite 200Suffolk, VA 23435-3315 · (757) 673-6000 · Fax (757) 673-6007
Phone(757) 673-6000
Fax(757) 673-6007
Organization SubpartNo
Authorized OfficialSamantha Marie PerssonNurse Practitioner · (540) 493-7759
Enumeration DateMarch 22, 2016
✔ NPI 1528420429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024173410
5818 HARBOUR VIEW BLVD, Suffolk, VA 23435
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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.

MARYVIEW HOSPITAL
Clinic/Center (Ambulatory Surgical)
5818 HARBOUR VIEW BLVD
SUFFOLK, VA 23435
Suffolk City (757) 673-5800
PAMELA MICHELE SMITH CRNA
Nurse Anesthetist, Certified Registered
5818 HARBOUR VIEW BLVD, SUITE 240
SUFFOLK, VA 23435
Suffolk City (757) 483-6100
DR. CHAD M MCKENZIE D.O.
Surgery (Vascular Surgery)
5818 HARBOUR VIEW BLVD, STE 240
SUFFOLK, VA 23435
Suffolk City (757) 397-2383
DR. TAD EDWARD GRENGA MD
Plastic Surgery
5818 HARBOUR VIEW BLVD, SUITE 220
SUFFOLK, VA 23435
Suffolk City (757) 673-5900
TAMARA K TJEPKEMA CRNA
Nurse Anesthetist, Certified Registered
5818 HARBOUR VIEW BLVD, SUITE 240
SUFFOLK, VA 23435
Suffolk City (757) 483-6100
MRS. KATHRYN A POND FNP
Nurse Practitioner (Family)
5818 HARBOUR VIEW BLVD, STE 240
SUFFOLK, VA 23435
Suffolk City (757) 483-6100
CHARLES JOSEPH FAIRBANKS
Physical Therapy Assistant
5818 HARBOUR VIEW BLVD
SUFFOLK, VA 23435
Suffolk City (757) 638-1800
PIERRE THOMAS MARTIN MD
Otolaryngology
5818 HARBOUR VIEW BLVD, SUITE 230
SUFFOLK, VA 23435
Suffolk City (757) 673-6118

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 Plastic Surgery Associates Of Tidewater's NPI number?

The NPI number for Plastic Surgery Associates Of Tidewater is 1528420429. It was assigned to this organization in the NPPES registry on March 22, 2016.

Where is Plastic Surgery Associates Of Tidewater located?

Plastic Surgery Associates Of Tidewater is located at 5818 Harbour View Blvd Suite 200, Suffolk, VA 23435. The listed phone number is (757) 673-6000.

What is Plastic Surgery Associates Of Tidewater's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Plastic Surgery Associates Of Tidewater was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.