Organization
TIDEWATER EMERGENCY MEDICAL CARE, LTD.
Active
Other names
Chesapeake Emergency Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS SIEGEL M.D. (MANAGING PARTNER)
(757) 449-2664
Entity
Organization
Contact information
Practice address
736 BATTLEFIELD BLVD N, EMERGENCY DEPARTMENT, CHESAPEAKE, VA 23320-4941
(757) 490-9388
(757) 490-9401
Mailing address
109G GAINSBOROUGH SQ, BOX 723, CHESAPEAKE, VA 23320
(757) 490-9388
(757) 490-9401
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
890114C
MEDICAID OF NC
NC
05
—
890114C
—
NC
01
—
CC5155
MEDICARE RAILROAD
—
Enumeration date
07/29/2006
Last updated
11/15/2023
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