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

Christopher J. Ciccone, MD

Individual provider Family Medicine Physician · NPI 1659377356

Christopher J. Ciccone, MD is a Family Practice in Williamsburg, Virginia. Graduated from Eastern Virginia Medical School in 1994, 32 years ago. Practices with Tidewater Physicians Multispecialty Group, PC, a 269-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
32
Trained at
Eastern Virginia Medical School
Licensed in
VA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4125 Ironbound Rd Ste 200
Williamsburg, VA 23188-2666
Phone: (757) 345-2829
Fax: (757) 345-0644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101052863 (VA)

Record details

NPI number1659377356
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2005
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021
Mailing address860 Omni Blvd Ste 101, Newport News, VA 23606-4430

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 1994 (32 years in practice)
Group practice Tidewater Physicians Multispecialty Group, Pc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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