Tidewater Skin Care and Pathology PC
NPI 1215269097 · Dermatology Physician · Virginia Beach, VA
Tidewater Skin Care and Pathology PC is a Dermatology Physician organization in Virginia Beach, VA (NPI 1215269097).
Provider details
- NPI number
- 1215269097
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Padman Menon, President(757) 825-1846
- License
- 200301017 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2010-02-04
- Last updated
- 2010-12-20
Frequently asked questions
- What is Tidewater Skin Care and Pathology PC's NPI number?
- Tidewater Skin Care and Pathology PC's National Provider Identifier (NPI) is 1215269097, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Skin Care and Pathology PC?
- Tidewater Skin Care and Pathology PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Tidewater Skin Care and Pathology PC located?
- Tidewater Skin Care and Pathology PC's practice location on file with NPPES is 1157 First Colonial Rd, Virginia Beach, VA 23454-2432.
- What is Tidewater Skin Care and Pathology PC's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Skin Care and Pathology PC is (757) 333-8001.
- Who is the authorized official for Tidewater Skin Care and Pathology PC?
- The authorized official listed on Tidewater Skin Care and Pathology PC's NPPES record is Padman Menon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Skin Care and Pathology PC's NPI active?
- Yes — Tidewater Skin Care and Pathology PC's NPI (1215269097) is active in the NPPES registry as of the last update on 2010-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.