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

Plastic Surgery Associates of Tidewater, Inc

Organization Specialist · NPI 1295822351

Plastic Surgery Associates of Tidewater, Inc is a Specialist in Chesapeake, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 Medical Pkwy Ste 316
Chesapeake, VA 23320-4985
Phone: (757) 547-0047
Fax: (757) 548-3370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 05286935 (VA)

Record details

NPI number1295822351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Merrell — President · (757) 673-6000
NPI enumeratedOctober 9, 2006
Last updated in NPPESSeptember 22, 2012
Mailing address300 Medical Pkwy, Suite 316, Chesapeake, VA 23320-4985

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