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

Tidewater Kidney Specialists, Inc

Organization Nephrology Physician · NPI 1053678839

Tidewater Kidney Specialists, Inc is a Nephrology Physician in Norfolk, Virginia. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3
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

814 Kempsville Rd Ste 101
Norfolk, VA 23502-4001
Phone: (757) 623-0005
Fax: (757) 548-1129
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1053678839
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Skidmore — Practice Administrator · (757) 623-0005
Other names Tidewater Vascular Access Center; Tidewater Vascular Access Center
NPI enumeratedApril 18, 2012
Last updated in NPPESJanuary 20, 2022
Certification dateJanuary 20, 2022
Mailing address4445 Corporation Ln Ste 100, Virginia Beach, VA 23462-3666

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