Tidewater Skin Care and Pathology PC
NPI 1215269097ActiveOrganization· Dermatology· Virginia Beach, VA
Dermatology in Virginia Beach, Virginia, registered in NPPES in February 2010. The authorized official on file is Padman A. Menon, MD, President.
Overview
| NPI | 1215269097 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 4, 2010 |
| Last updated in NPPES | Dec 20, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 0101022994 | VA |
| Dermatology | 207N00000X | 200301017 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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