OrganizationActive
Tidewater Physicians Multispecialty Group PC
NPI 1023972551 · Non-Pharmacy Dispensing Site · Williamsburg, VA
Provider details
- NPI number
- 1023972551
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Cecilia Quintero, Credentialing Manager(757) 964-8739
Specialties & taxonomies
Suppliers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5424 Discovery Park Boulevard Building B Ste 203
Williamsburg, VA 23188
Phone: (757) 345-6223
Street-level locationGet directions
Mailing address
860 Omni Blvd Ste 8
Newport News, VA 23606-4434
Other names (DBA / former)
- Doing business as
- Tpmg Williamsburg Urology, in Office Dispensing
Registry dates
- Enumerated
- 2025-12-10
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.