Tidewater Integrated Medical Services, Pllc

LBN: Tidewater Integrated Medical Services, Pllc
Tidewater Integrated Medical Services, Pllc is an health care organization with primary practice located at Virginia Beach General Hospital 1060 First Colonial Rd, Virginia Beach VA 23450. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Tidewater Integrated Medical Services, Pllc can be contacted via phone (757) 340-3489, or through Thomas, Edward via phone (757) 340-3489.

Contact Information

Primary practice address
Virginia Beach General Hospital 1060 First Colonial Rd Virginia Beach VA 23450
Phone: (757) 340-3489
Fax: (757) 340-4278
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Edward Doctor of Medicine (MD)
Phone: (757) 340-3489

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1528007010
LBN Legal business name Tidewater Integrated Medical Services, Pllc
DBA Doing business as
Authorized official Thomas, Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 9th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528007010 NPPES
Virginia MEDICAID 1528007010

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