Tidewater Anesthesia Inc
NPI 1063583722ActiveOrganization· Nurse Anesthetist, Certified Registered· Virginia Beach, VA
Nurse Anesthetist, Certified Registered in Virginia Beach, Virginia, registered in NPPES in November 2006. The authorized official on file is Marsha Faison Edwards, CRNA, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063583722 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2006 |
| Last updated in NPPES | May 20, 2020 |
| Certified by provider | May 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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