Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Plastic Surgery Associates of Tidewater, Inc

Organization Specialist · NPI 1295822351

Plastic Surgery Associates of Tidewater, Inc provides Specialist services in Chesapeake, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 Medical Pkwy Ste 316
Chesapeake, VA 23320-4985 Not confirmed with CMS for 14 years — call before visiting
Phone: (757) 547-0047
Fax: (757) 548-3370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 05286935 (VA)

Record details

NPI number1295822351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Merrell — President · (757) 673-6000
NPI enumeratedOctober 9, 2006
Last updated in NPPESSeptember 22, 2012
Mailing address300 Medical Pkwy, Suite 316, Chesapeake, VA 23320-4985

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