OrganizationActive
Cancer Specialists of Tidewater, Ltd.
NPI 1073521548 · Specialist · Chesapeake, VA
Cancer Specialists of Tidewater, Ltd. is a Specialist organization in Chesapeake, VA (NPI 1073521548).
Provider details
- NPI number
- 1073521548
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Carrie Pernell, Office Manager(757) 436-1492
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 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
110 Wimbledon Sq
Suite E
Chesapeake, VA 23320-4946
Phone: (757) 436-1492
Fax: (757) 436-2912
Street-level locationGet directions
Mailing address
110 Wimbledon Sq
Chesapeake, VA 23320-4946
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2010-04-01
Frequently asked questions
- What is Cancer Specialists of Tidewater, Ltd.'s NPI number?
- Cancer Specialists of Tidewater, Ltd.'s National Provider Identifier (NPI) is 1073521548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cancer Specialists of Tidewater, Ltd.?
- Cancer Specialists of Tidewater, Ltd. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Cancer Specialists of Tidewater, Ltd. located?
- Cancer Specialists of Tidewater, Ltd.'s practice location on file with NPPES is 110 Wimbledon Sq, Chesapeake, VA 23320-4946.
- What is Cancer Specialists of Tidewater, Ltd.'s phone number?
- The practice phone number listed in the NPPES registry for Cancer Specialists of Tidewater, Ltd. is (757) 436-1492.
- Who is the authorized official for Cancer Specialists of Tidewater, Ltd.?
- The authorized official listed on Cancer Specialists of Tidewater, Ltd.'s NPPES record is Carrie Pernell, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cancer Specialists of Tidewater, Ltd.'s NPI active?
- Yes — Cancer Specialists of Tidewater, Ltd.'s NPI (1073521548) is active in the NPPES registry as of the last update on 2010-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.