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

Tidewater Foot Center LLC

Organization Foot Surgery Podiatrist · NPI 1891137048

Tidewater Foot Center LLC is a Foot Surgery Podiatrist in Newport News, Virginia. Licensed in Virginia. Registered with an NPI since 2013.

Licensed in
VA
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

126 Monarch Dr
Newport News, VA 23602-6884
Phone: (757) 597-1520
Fax: (757) 597-7099
Show map & directions

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

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence 0103301081 (VA)

Record details

NPI number1891137048
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Prak — Sole Owner · (757) 597-7699
NPI enumeratedJuly 29, 2013
Last updated in NPPESDecember 9, 2013
Mailing address11747 Jefferson Ave Ste 2a, Newport News, VA 23606-4402

Other providers in Newport News