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

Tidewater Kidney Specialists, Inc

Organization Specialist · NPI 1780624627

Tidewater Kidney Specialists, Inc provides Specialist services in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4445 Corporation Ln Ste 100
Virginia Beach, VA 23462-3666
Phone: (757) 623-0005
Fax: (757) 548-1129
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X (VA)
Specialist Taxonomy 174400000X (VA)

Record details

NPI number1780624627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Skidmore — Administrator · (757) 623-0005
NPI enumeratedJune 8, 2006
Last updated in NPPESJanuary 20, 2022
Certification dateJanuary 20, 2022
Mailing address4445 Corporation Ln Ste 100, Virginia Beach, VA 23462-3666

Other providers in Virginia Beach