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

Tidewater Surgical

Organization Specialist · NPI 1821626235

Tidewater Surgical is a Specialist in Chesapeake, Virginia. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1732 S Park Ct
Chesapeake, VA 23320-8934
Phone: (757) 995-5695
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1821626235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Kirk — Chief Executive Officer · (832) 804-8703
NPI enumeratedMarch 31, 2020
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021
Mailing address1732 S Park Ct, Chesapeake, VA 23320-8934

Other providers in Chesapeake