{"npi":"1689623258","type":"NPI-2","status":"active","name":{"display":"Tidewater Neurologists INC, PC","other":[],"organization_name":"TIDEWATER NEUROLOGISTS INC, PC","authorised_official":"Hemang Shah"},"specialty":{"primary_taxonomy":"2084N0400X","primary_taxonomy_description":"Neurology","slug":"neurology","schema_org_specialty":"Neurologic","all":[{"code":"2084N0600X","description":"Clinical Neurophysiology","primary":false,"state":null,"license":null},{"code":"2084N0400X","description":"Neurology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3235 ACADEMY AVE","city":"PORTSMOUTH","state":"VA","postal_code":"237033200","country_code":"US","street_2":"SUITE 305","phone":"7576869300","fax":"7576861514"},{"purpose":"MAILING","street_1":"3235 ACADEMY AVE STE 305","city":"PORTSMOUTH","state":"VA","postal_code":"237033200","country_code":"US","phone":"7574635240","fax":"7574636572"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"200250","state":"VA","issuer":"SENTARA"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20060329000783","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"VA","pac_id":"4688682875"}]},"enumeration_date":"2006-05-09","last_updated":"2023-10-30","_meta":{"source":"NPPES","snapshot_date":"2023-10-30","doc_url":"https://findmynpi.com/api"}}