TIDEWATER MEDICAL CARE PC – NPI #1053558981
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

TIDEWATER MEDICAL CARE PC is a provider located in VIRGINIA BEACH, VA. NPPES has assigned the NPI number 1053558981 to TIDEWATER MEDICAL CARE PC on January 14, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 16 years ago on Feb 03, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIDEWATER MEDICAL CARE PC below.

NPI Profile for
TIDEWATER MEDICAL CARE PC

NPI Number
1053558981
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TIDEWATER MEDICAL CARE PC
Doing Business As (dba): TIDEWATER MEDICAL CARE PC
Primary location
4608 THOROUGHGOOD DRIVE
VIRGINIA BEACH, VA 23455
Phone: (757) 965-9465 Fax: (757) 965-9491
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MIGDONIA MONTEJO
OWNER/PRESIDENT
Phone: (757) 965-9465
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 VA 0101058505

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.