Colon Rectal Surgery of Tidewater, P.C.
NPI 1790794022 · Colon & Rectal Surgery Physician · Portsmouth, VA
Colon Rectal Surgery of Tidewater, P.C. is a Colon & Rectal Surgery Physician organization in Portsmouth, VA (NPI 1790794022).
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
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-08-05
- Last updated
- 2011-09-14
Frequently asked questions
- What is Colon Rectal Surgery of Tidewater, P.C.'s NPI number?
- Colon Rectal Surgery of Tidewater, P.C.'s National Provider Identifier (NPI) is 1790794022, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Colon Rectal Surgery of Tidewater, P.C.?
- Colon Rectal Surgery of Tidewater, P.C. is classified in the NPPES registry as Colon & Rectal Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Colon Rectal Surgery of Tidewater, P.C. located?
- Colon Rectal Surgery of Tidewater, P.C.'s practice location on file with NPPES is 3235 Academy Ave, Portsmouth, VA 23703-3200.
- What is Colon Rectal Surgery of Tidewater, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Colon Rectal Surgery of Tidewater, P.C. is (757) 484-9653.
- Who is the authorized official for Colon Rectal Surgery of Tidewater, P.C.?
- The authorized official listed on Colon Rectal Surgery of Tidewater, P.C.'s NPPES record is Jeffrey Wolf, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Colon Rectal Surgery of Tidewater, P.C.'s NPI active?
- Yes — Colon Rectal Surgery of Tidewater, P.C.'s NPI (1790794022) is active in the NPPES registry as of the last update on 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.