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

Tidewater Pediatrics, PC

Organization Pediatrics Physician · NPI 1134685050

Tidewater Pediatrics, PC is a Pediatrics Physician in Portsmouth, Virginia. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

301 Goode Way Ste 203
Portsmouth, VA 23704-2266
Phone: (757) 399-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1134685050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laarni Bibay — President · (757) 399-5300
NPI enumeratedFebruary 15, 2019
Last updated in NPPESFebruary 15, 2019
Mailing address301 Goode Way Ste 203, Portsmouth, VA 23704-2266

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