Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Cancer Specialists of Tidewater, Ltd.

Specialist in Chesapeake, VA · enumerated 2006 · authorized official Carrie Pernell, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073521548

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Registry record

Entity type Organization (Type 2)

Legal business name Cancer Specialists of Tidewater, Ltd.

Practice address 110 Wimbledon Sq, Suite E, Chesapeake, VA, 23320

Phone (757) 436-1492

Fax (757) 436-2912

Enumeration date Aug 3, 2006

Last updated in NPPES Apr 1, 2010

Taxonomy & classification

174400000X Specialist Other Service Providers Primary

Authorized official

Name Carrie Pernell

Title Office Manager

Phone (757) 436-1492

Other identifiers

Identifier	Type	State	Issuer
033518	Other	VA	ANTHEM
890511H	Other	-	NORTH CAROLINA MEDICAID
35037	Other	VA	OPTIMA/SENTARA
890584T	Other	-	NORTH CAROLINA MEDICAID
093213	Other	VA	ANTHEM
52831	Other	VA	OPTIMA/SENTARA
60-48030	Medicaid	VA	-
830007176	Other	-	RAILROAD MEDICARE
890500W	Other	-	NORTH CAROLINA MEDICAID
830003514	Other	-	RAILROAD MEDICARE
265950	Other	VA	ANTHEM
900001703	Other	-	RAILROAD MEDICARE
58-45521	Medicaid	VA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Cancer Specialists of Tidewater, Ltd. located?

The practice location on file with NPPES is in Chesapeake, VA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-04-01. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-04-01.