Organization
TIDEWATER FAMILY MEDICAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK JOSEPH PICCIONI D.O. (PRESIDENT)
(757) 495-0606
Entity
Organization
Contact information
Practice address
516 INNOVATION DR, STE 103, CHESAPEAKE, VA 23320-3847
(757) 495-0606
Mailing address
516 INNOVATION DR, STE. 103, CHESAPEAKE, VA 23320-3847
(757) 495-0606
(757) 495-0952
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102037087
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10139414
—
VA
01
—
131473
OPTIMA ID
VA
01
—
172725
ANTHEM BCBS ID
VA
Enumeration date
02/23/2007
Last updated
07/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us