Tidewater Orthopaedic Associates Inc
NPI 1629629340ActiveOrganization· Specialist· Suffolk, VA
Specialist in Suffolk, Virginia, registered in NPPES in September 2019, part of Tidewater Orthopaedic Associates Inc. The authorized official on file is Stacey Tanner Bell, Ceo.
Overview
| NPI | 1629629340 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Tidewater Orthopaedic Associates Inc |
| NPI issued | Sep 24, 2019 |
| Last updated in NPPES | Apr 5, 2024 |
| Certified by provider | Apr 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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