OrganizationActive
Emergency Physician of Tidewater
NPI 1851488167 · General Acute Care Hospital · Virginia Beach, VA
Provider details
- NPI number
- 1851488167
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Aksel Keklik, Physician Assistant(757) 410-8879
- License
- 0110001528 (VA)
Specialties & taxonomies
Hospitals
Practice location
4092 Foxwood Dr
Suite 101
Virginia Beach, VA 23462-5225
Phone: (757) 467-4200
Fax: (757) 467-4173
Approximate (ZIP-level) locationGet directions
Mailing address
309 Downing Dr
Chesapeake, VA 23322-8703
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.