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TIDEWATER FOOT CENTER LLC
NPI 1891137048
Podiatrist - Foot Surgery in Newport News, VA

Active since July 29, 2013
126 MONARCH DR, NEWPORT NEWS, VA 23602(757) 597-1520(757) 597-7099 Get Directions Write a Review

NPPES record last updated: December 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tidewater Foot Center Llc NPPES

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

TIDEWATER FOOT CENTER LLC (NPI 1891137048) is a healthcare organization registered as a foot surgery in Newport News, Virginia and active in the NPI registry since July 2013. The organization lists Steven Thou Prak, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1891137048
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameTIDEWATER FOOT CENTER LLC
Location Address126 MONARCH DRNewport News, VA 23602-6884
Mailing Address11747 Jefferson Ave Ste 2aNewport News, VA 23606-4402 · (757) 597-7699 · Fax (757) 597-7099
Phone(757) 597-1520
Fax(757) 597-7099
Organization SubpartNo
Authorized OfficialSteven Thou PrakSole Owner · (757) 597-7699
Enumeration DateJuly 29, 2013
Last NPPES UpdateDecember 9, 2013
✔ NPI 1891137048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in VA · 0103301081
126 MONARCH DR, Newport News, VA 23602
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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 Foot Center LLC's NPI number?

The NPI number for Tidewater Foot Center LLC is 1891137048. It was assigned to this organization in the NPPES registry on July 29, 2013.

Where is Tidewater Foot Center LLC located?

Tidewater Foot Center LLC is located at 126 Monarch Dr, Newport News, VA 23602. The listed phone number is (757) 597-1520.

What is Tidewater Foot Center LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Tidewater Foot Center LLC was last updated on December 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.