OrganizationActive
Tidewater Ear, Nose, & Throat, Inc.
NPI 1053447839 · Specialist · Chesapeake, VA
Tidewater Ear, Nose, & Throat, Inc. is a Specialist organization in Chesapeake, VA (NPI 1053447839).
Provider details
- NPI number
- 1053447839
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Angela Murden, Insurance Coordinator(757) 488-2080
- License
- 0101016485 (VA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES 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
4020 Raintree Rd
Suite C
Chesapeake, VA 23321-3749
Phone: (757) 488-2080
Fax: (757) 405-3025
Street-level locationGet directions
Mailing address
4020 Raintree Rd
Chesapeake, VA 23321-3749
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2009-07-09
Frequently asked questions
- What is Tidewater Ear, Nose, & Throat, Inc.'s NPI number?
- Tidewater Ear, Nose, & Throat, Inc.'s National Provider Identifier (NPI) is 1053447839, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Ear, Nose, & Throat, Inc.?
- Tidewater Ear, Nose, & Throat, Inc. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Tidewater Ear, Nose, & Throat, Inc. located?
- Tidewater Ear, Nose, & Throat, Inc.'s practice location on file with NPPES is 4020 Raintree Rd, Chesapeake, VA 23321-3749.
- What is Tidewater Ear, Nose, & Throat, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Tidewater Ear, Nose, & Throat, Inc. is (757) 488-2080.
- Who is the authorized official for Tidewater Ear, Nose, & Throat, Inc.?
- The authorized official listed on Tidewater Ear, Nose, & Throat, Inc.'s NPPES record is Angela Murden, Insurance Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Ear, Nose, & Throat, Inc.'s NPI active?
- Yes — Tidewater Ear, Nose, & Throat, Inc.'s NPI (1053447839) is active in the NPPES registry as of the last update on 2009-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.