| Tidewater Family Practice, P.c. | |
|
4660 Haygood Rd Virginia Beach VA 23455-5436 | |
| (757) 460-0243 | |
| (757) 460-1011 |
| Full Name | Tidewater Family Practice, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 4660 Haygood Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | David Brannon Holt (OWNER) |
| Authorized Official Contact | 7574600243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Family Practice, P.c. 4660 Haygood Rd Virginia Beach VA 23455-5436 Ph: (757) 460-0243 | Tidewater Family Practice, P.c. 4660 Haygood Rd Virginia Beach VA 23455-5436 Ph: (757) 460-0243 |
| NPI Number | 1750462628 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1951391796 |
|---|---|
| Medicare Enrollment ID | O20040514000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750462628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Eric M Byman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962457275 PECOS PAC ID: 7911924253 Enrollment ID: I20051026000993 |
| Provider Name | David B Holt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508805888 PECOS PAC ID: 3476543216 Enrollment ID: I20100505000455 |
| Provider Name | Jennifer A Kiggans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033463476 PECOS PAC ID: 7517110737 Enrollment ID: I20130118000356 |
| Provider Name | Jennifer Lynn Ladeveze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629585435 PECOS PAC ID: 8224398235 Enrollment ID: I20180213002145 |
| Provider Name | Deanna L Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841702107 PECOS PAC ID: 7113281759 Enrollment ID: I20180507000583 |
| Provider Name | Melinda L Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790087799 PECOS PAC ID: 3577932979 Enrollment ID: I20221207000382 |
Accurate Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3312 Doncaster Rd, Virginia Beach, VA 23452 Phone: 757-289-4035 Fax: 757-497-8737 | |
Renewed Minds Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1728 Virginia Beach Blvd, Suite 114, Virginia Beach, VA 23454 Phone: 757-546-4494 | |
Ucfa Physicians Network Group Of Virginia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Commonwealth Pl, Virginia Beach, VA 23464 Phone: 423-271-9911 | |
Five Star Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4867 Baxter Rd Ste 105, Virginia Beach, VA 23462 Phone: 757-473-9300 Fax: 757-473-9361 | |
Glenn R. Mcdermott, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1788 Republic Rd, Suite 400, Virginia Beach, VA 23454 Phone: 757-343-4221 | |
Oceana Sports Medicine And Orthopaedic Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1232 Perimeter Pkwy Ste 205, Virginia Beach, VA 23454 Phone: 757-448-5451 | |
Sentara Family Medicine Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2017 Pleasure House Rd, Virginia Beach, VA 23455 Phone: 757-318-6900 Fax: 757-318-6901 |