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TIDEWATER SURGICAL
NPI 1821626235
Specialist in Chesapeake, VA

Active since March 31, 2020
1732 S PARK CT, CHESAPEAKE, VA 23320(757) 995-5695 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2021, Mar 31, 2020 (2 updates tracked since 2020).

About Tidewater Surgical NPPES

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

TIDEWATER SURGICAL (NPI 1821626235) is a healthcare organization registered as a specialist in Chesapeake, Virginia and active in the NPI registry since March 2020. The organization lists Thomas Kirk, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1821626235
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTIDEWATER SURGICAL
Location Address1732 S PARK CTChesapeake, VA 23320-8934
Mailing Address1732 S Park CtChesapeake, VA 23320-8934
Phone(757) 995-5695
Organization SubpartNo
Authorized OfficialThomas KirkChief Executive Officer · (832) 804-8703
Enumeration DateMarch 31, 2020
Last NPPES UpdateJuly 1, 20212 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
✔ NPI 1821626235 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.
1732 S PARK CT, 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

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 Surgical's NPI number?

The NPI number for Tidewater Surgical is 1821626235. It was assigned to this organization in the NPPES registry on March 31, 2020.

Where is Tidewater Surgical located?

Tidewater Surgical is located at 1732 S Park Ct, Chesapeake, VA 23320. The listed phone number is (757) 995-5695.

What is Tidewater Surgical'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 Surgical was last updated on July 1, 2021. 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.