COLON RECTAL SURGERY OF TIDEWATER, P.C. – NPI #1790794022
Colon & Rectal Surgery
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
COLON RECTAL SURGERY OF TIDEWATER, P.C. is a colon & rectal surgeon located in PORTSMOUTH, VA. NPPES has assigned the NPI number 1790794022 to COLON RECTAL SURGERY OF TIDEWATER, P.C. on August 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208C00000X from the Health Care Provider Taxonomy code set, which is classified as Colon & Rectal Surgery.
The NPI profile was previously updated about 15 years ago on Sep 14, 2011. 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 COLON RECTAL SURGERY OF TIDEWATER, P.C. below.
NPI Profile for
COLON RECTAL SURGERY OF TIDEWATER, P.C.
(about 20 years ago)
SUITE 100
PORTSMOUTH, VA 23703-3200 Phone: (757) 484-9653 Fax: (757) 484-9662
PRESIDENT
Phone: (757) 484-9653
Identifiers for COLON RECTAL SURGERY OF TIDEWATER, P.C.
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BC/BS | VA | 072337 |
| OTHER | MAMSI | VA | 292832 |
| OTHER | OPTIMA | VA | 200136 |
| MEDICAID | NC | 890528E | |
| MEDICAID | VA | 005841232 |
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 |
|---|---|---|
| 208C00000X - Colon & Rectal Surgery (Primary) |
VA | 0101031444 |
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.