Tidewater Pain Management Pc in Williamsburg - Interventional Pain Medicine
Tidewater Pain Management Pc - NPI 1871558270
Tidewater Pain Management Pc is a Interventional Pain Medicine in Williamsburg, Virginia. Tidewater Pain Management Pc practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Tidewater Pain Management Pc is 1871558270. The last update date is 2008-04-03.
Tidewater Pain Management Pc's current location address is 4125 Ironbound Road, Williamsburg, Virginia. You can contact this provider via phone number 7572582561 and fax number 7572585936. The mailing address for Tidewater Pain Management Pc is 4125 Ironbound Road, Williamsburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tidewater Pain Management Pc |
|---|---|
| Address | 4125 Ironbound Road, Williamsburg, Virginia |
| Phone Number | 7572582561 |
| Fax Number | 7572585936 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Newman Wesley Mark |
| Credentials | DO |
| Telephone Number | 7572582561 |
NPI Number Detail
| NPI Number | 1871558270 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2008-04-03 |
Provider Mailing Address Detail
| Address | 4125 Ironbound Road |
|---|---|
| City | Williamsburg |
| State | Virginia (VA) |
| Post Code | 231882631 |
| Phone Number | 7572582561 |
| Fax Number | 7572585936 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Pain Medicine |
|---|---|
| Taxonomy | 208Vp0014X |
| Licence No | 102037017 |
|
Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 322590 | VA | ANTHEM BCBS |
Post Comment/ Review Below
What is the Tidewater Pain Management Pc's unique identification number?
The Tidewater Pain Management Pc has been assigned the NPI (National Provider Identifier) Number 1871558270 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Tidewater Pain Management Pc is located?
The Tidewater Pain Management Pc is situated at the following address: 4125 Ironbound Road, Williamsburg, VA, 231882631.
What is Tidewater Pain Management Pc's area of expertise and its corresponding taxonomy classification?
The Tidewater Pain Management Pc's field of specialization is Interventional Pain Medicine, and it falls under the taxonomy code 208Vp0014X, which categorizes healthcare providers based on their areas of practice.
When did Tidewater Pain Management Pc receive its 1871558270 assignment?
The Tidewater Pain Management Pc was assigned its 1871558270 on 2006-04-19, which is the date when this unique identifier was issued to the organization.
When was the Tidewater Pain Management Pc's information last updated?
The Tidewater Pain Management Pc's information was last updated on 2008-04-03.