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

Tidewater Heart Specialists, Inc

Organization Specialist · NPI 1417992686

Tidewater Heart Specialists, Inc is a Specialist in Hampton, 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

2112 Hartford Rd Ste B
Hampton, VA 23666-6601
Phone: (757) 827-7754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (VA)

Record details

NPI number1417992686
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Clark — President · (757) 827-7754
NPI enumeratedJune 19, 2006
Last updated in NPPESJuly 21, 2022
Mailing address2112 Hartford Rd Ste B, Hampton, VA 23666-6601

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