TIDEWATER ALLERGY AND ASTHMA LLC
NPI 1629889308
Allergy & Immunology in Virginia Beach, VA

Q: What is Tidewater Allergy And Asthma LLC's NPI number?

The NPI number for Tidewater Allergy And Asthma LLC is 1629889308. It was assigned to this organization in the NPPES registry on January 14, 2025. The provider is doing business as Tidewater Allery and Asthma.

Q: What is Tidewater Allergy And Asthma LLC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Active since January 14, 2025

4534 BONNEY RD STE B, VIRGINIA BEACH, VA 23462(757) 499-4101(757) 497-2419 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tidewater Allergy And Asthma Llc NPPES

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

TIDEWATER ALLERGY AND ASTHMA LLC (NPI 1629889308), doing business as Tidewater Allery And Asthma, is a healthcare organization registered as an allergy & immunology in Virginia Beach, Virginia and active in the NPI registry since January 2025. The organization maintains a secondary practice location in Chesapeake and lists Jeremy Ray Owens, Owner, as its authorized official.

NPPES Registry Identity

NPI1629889308

Entity TypeOrganization

Primary Taxonomy207K00000X

Legal Business NameTIDEWATER ALLERGY AND ASTHMA LLC

Location Address4534 BONNEY RD STE BVirginia Beach, VA 23462-3873

Mailing Address1828 Duke Of Norfolk QuayVirginia Beach, VA 23454-1106

Phone(757) 499-4101

Fax(757) 497-2419

Organization SubpartNo

Authorized OfficialJeremy Ray OwensOwner · (757) 572-6052

Enumeration DateJanuary 14, 2025

Last NPPES UpdateApril 3, 2025

NPPES CertifiedApril 3, 2025

✔ NPI 1629889308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

4534 BONNEY RD STE B, Virginia Beach, VA 23462

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Other Names 1

Doing Business AsTidewater Allery And Asthma

Secondary Practice Location 1

Location 1516 Innovation Dr Ste 306Chesapeake, VA 23320-3866 · Phone (757) 499-4101

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 3

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

CARRIE RADFORD FNP

Nurse Practitioner (Family)

4534 BONNEY RD STE B
VIRGINIA BEACH, VA 23462

Virginia Beach City (757) 499-4101

CHRISTINA BARNETT FNP

Nurse Practitioner (Family)

4534 BONNEY RD STE B
VIRGINIA BEACH, VA 23462

Virginia Beach City (757) 499-4101

DR. JEREMY OWENS MD

Allergy & Immunology

4534 BONNEY RD STE B
VIRGINIA BEACH, VA 23462

Virginia Beach City (757) 499-4101

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 Allergy And Asthma LLC's NPI number?

The NPI number for Tidewater Allergy And Asthma LLC is 1629889308. It was assigned to this organization in the NPPES registry on January 14, 2025. The provider is doing business as Tidewater Allery and Asthma.

Where is Tidewater Allergy And Asthma LLC located?

Tidewater Allergy And Asthma LLC is located at 4534 Bonney Rd Ste B, Virginia Beach, VA 23462. The listed phone number is (757) 499-4101.

What is Tidewater Allergy And Asthma LLC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

When was this NPI record last updated?

The NPPES record for Tidewater Allergy And Asthma LLC was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.