Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidewater Heart Specialists, Inc

Organization Specialist · NPI 1417992686

Tidewater Heart Specialists, Inc provides Specialist services in Hampton, 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

2112 Hartford Rd Ste B
Hampton, VA 23666-6601
Phone: (757) 827-7754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (VA)

Record details

NPI number1417992686
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Clark — President · (757) 827-7754
NPI enumeratedJune 19, 2006
Last updated in NPPESJuly 21, 2022
Mailing address2112 Hartford Rd Ste B, Hampton, VA 23666-6601

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