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

Tidewater Allergy and Asthma LLC

Organization Allergy & Immunology Physician · NPI 1629889308

Tidewater Allergy and Asthma LLC is an Allergy & Immunology Physician in Virginia Beach, Virginia. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4534 Bonney Rd Ste B
Virginia Beach, VA 23462-3873
Phone: (757) 499-4101
Fax: (757) 497-2419
Show map & directions

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

Additional practice locations (1)

  • 516 Innovation Dr Ste 306, Chesapeake, VA 23320-3866 — (757) 499-4101

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X

Record details

NPI number1629889308
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Owens — Owner · (757) 572-6052
Other names Tidewater Allery And Asthma; Tidewater Allery And Asthma
NPI enumeratedJanuary 14, 2025
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025
Mailing address1828 Duke Of Norfolk Quay, Virginia Beach, VA 23454-1106

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