Tidewater Medical Supply, Inc
Oxygen Equipment & Supplies
525 Byron St, Suite A, Chesapeake
Virginia, 23320-7967
757-548-9999 757-549-7752
Tidewater Medical Supply, Inc is not a DME supplier for medicare equipment and products.Tidewater Medical Supply, Inc is a Oxygen Equipment & Supplies in Chesapeake, Virginia. It is located at 525 Byron St, Suite A, Chesapeake and it's customer support contact number is 757-548-9999. The authorized person of Tidewater Medical Supply, Inc is Mr. Keith Anthony Davies who is President of this DME and his contact number is 757-548-9999. Active license number of Tidewater Medical Supply, Inc is 0206009115 for Oxygen Equipment & Supplies in Virginia.
Tidewater Medical Supply, Inc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Tidewater Medical Supply, Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Tidewater Medical Supply, Inc |
| Type: | Oxygen Equipment & Supplies |
| Location: | 525 Byron St, Suite A, Chesapeake, Virginia, 23320-7967 |
| Phone: | 757-548-9999 |
| Fax: | 757-549-7752 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Keith Anthony Davies |
| Position: | President |
| Contact Number: | 757-548-9999 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1104923895 |
| NPI Enumeration Date: | 17 Sep, 2006 |
| NPI Last Update On: | 11 Mar, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tidewater Medical Supply, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oxygen Equipment & Supplies | 0206009115 | Virginia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1258980001 | Other | Virginia | Medicare Participating Provider Id # 1258980001 State Va Ptan # |
| 009117920 | Medicaid | Virginia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 525 Byron St, Suite A Chesapeake, Virginia |
| Zip: | 23320-7967 |
| Phone Number: | 757-548-9999 |
| Fax Number: | 757-549-7752 |
Patients can reach Tidewater Medical Supply, Inc at
525 Byron St, Suite A, Chesapeake, Virginia or can
call on customer care at 757-548-9999.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.