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

Tidewater Ear, Nose, & Throat, Inc

Organization Specialist · NPI 1053447839

Tidewater Ear, Nose, & Throat, Inc is a Specialist in Chesapeake, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
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

4020 Raintree Rd Ste C
Chesapeake, VA 23321-3749
Phone: (757) 488-2080
Fax: (757) 405-3025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 0101016485 (VA)

Record details

NPI number1053447839
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Murden — Insurance Coordinator · (757) 488-2080
NPI enumeratedFebruary 26, 2007
Last updated in NPPESJuly 9, 2009
Mailing address4020 Raintree Rd, Suite C, Chesapeake, VA 23321-3749

Other providers in Chesapeake