Christopher W Tidwell, DO | |
405 W Grand Ave, Dayton, OH 45405-4720 | |
(937) 723-3210 | |
Not Available |
Full Name | Christopher W Tidwell |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 405 W Grand Ave, Dayton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538134994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34-007867 (Ohio) | Primary |
Entity Name | Attala Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407103294 PECOS PAC ID: 5294984340 Enrollment ID: O20121004000363 |
Entity Name | Mississippi Emergency Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710220678 PECOS PAC ID: 2264672492 Enrollment ID: O20130710000827 |
Entity Name | Correct Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20131122000662 |
Entity Name | Comprehensive Hospitalists Of Ms, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467856385 PECOS PAC ID: 6709101322 Enrollment ID: O20150202001604 |
Entity Name | Leake Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669028130 PECOS PAC ID: 4486985256 Enrollment ID: O20191009000078 |
Mailing Address | Practice Location Address |
---|---|
Christopher W Tidwell, DO 249 Signature Dr S, Xenia, OH 45385-8903 Ph: (937) 347-2116 | Christopher W Tidwell, DO 405 W Grand Ave, Dayton, OH 45405-4720 Ph: (937) 723-3210 |
Lara Martinez, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 W Grand Ave, Dayton, OH 45405 Phone: 937-723-3245 | |
David Michael Miranda, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Woodman Dr, Dayton, OH 45432 Phone: 937-424-2215 Fax: 937-252-1224 | |
Dr. Daniel Phillip Pitstick, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-3356 | |
Dr. William R. Marriott, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 513-281-4400 Fax: 513-587-8213 | |
Douglas E Reynolds, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-3356 | |
Dr. Richmond Lemos, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 513-281-4400 Fax: 513-587-8213 | |
Mary J Erickson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3321 Fax: 937-641-4410 |