Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Long Term Care of Tidewater PC

Organization Internal Medicine Physician · NPI 1033154430

Long Term Care of Tidewater PC is an Internal Medicine Physician in Norfolk, Virginia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
5
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6160 Kempsville Cir Ste 325A
Norfolk, VA 23502-3933
Phone: (757) 917-5356
Fax: (757) 917-5141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Nephrology Physician Taxonomy 207RN0300X
Psychiatry Physician Taxonomy 2084P0800X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1033154430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jayne Walter — Credentialing · (757) 917-5356
NPI enumeratedJune 19, 2006
Last updated in NPPESNovember 1, 2019
Mailing address110 Kingsley Ln Ste 312, Norfolk, VA 23505-4618

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