OrganizationActive
Colon Rectal Surgery of Tidewater, P.C.
NPI 1790794022 · Colon & Rectal Surgery Physician · Portsmouth, VA
Provider details
- NPI number
- 1790794022
- Entity type
- Organization
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Wolf, President(757) 484-9653
- License
- 0101031444 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
3235 Academy Ave
Suite 100
Portsmouth, VA 23703-3200
Phone: (757) 484-9653
Fax: (757) 484-9662
Street-level locationGet directions
Mailing address
3235 Academy Ave
Portsmouth, VA 23703-3200
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2011-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.