DR. CHRISTOPHER K TIDWELL (NPI# 1114032323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114032323 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER K TIDWELL |
| Credential | MD |
| Practice Address |
1538 13th Ave C100 Columbus GA 31901-1595 |
| Mailing Address |
1538 13th Avenue Suite C100 Columbus GA 31901-1595 |
| Practice Telephone | 7064947000 |
| Practice Fax Number | 7064947011 |
| Mailing Telephone | 7064947000 |
| Mailing Fax Number | 7064947011 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2016-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 054351 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
054351 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 551575810A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578192258 | Christopher Martin Tidwell | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2020-04-05 |
| 1538134994 | Christopher W Tidwell | Emergency Medicine | 405 W Grand Ave, Dayton, OH 45405-4720 | 2006-02-21 |
| Street Address |
1538 13TH AVE C100 |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31901-1595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033141031 | Serena Davis Tidwell | Specialist | 1538 13th Ave, Suite C 200, Columbus, GA 31901-1956 | 2006-07-07 |
| 1962059402 | Tabitha Marie Taylor | Family Medicine | 1538 13th Ave, Suite C-200, Columbus, GA 31901 | 2019-08-20 |
| 1730612995 | Joseph Matthew Craig | Physician Assistant | 1538 13th Ave, Ste B 300, Columbus, GA 31901-1956 | 2017-04-05 |
| 1376097543 | Jennifer O Hammock | Nurse Practitioner | 1538 13th Ave, Suite C200, Columbus, GA 31901-1956 | 2016-08-05 |
| 1366814626 | Nicole Leighann Hallberg | Physician Assistant | 1538 13th Ave, Suite B 300, Columbus, GA 31901-1956 | 2015-10-27 |
| 1497136576 | Denise Atkins | Nurse Practitioner | 1538 13th Ave, Ste B 300, Columbus, GA 31901-1956 | 2015-06-15 |
| 1790101392 | River City Neurological Associates | Internal Medicine | 1538 13th Ave, Suite B-100, Columbus, GA 31901-1956 | 2014-03-07 |
| 1255642542 | Hutto Limb and Brace, LLC | Prosthetic/Orthotic Supplier | 1538 13th Ave, Building B-200, Columbus, GA 31901-1956 | 2010-07-01 |
| 1730321852 | Ashika Sheth | Physician Assistant | 1538 13th Ave, Suite B300, Columbus, GA 31901-1956 | 2009-04-03 |
| 1306992995 | Scott Bell | Neurological Surgery | 1538 13th Ave, Suite B 300, Columbus, GA 31901-1956 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1770040099 | Columbus Ga Homecare, LLC | In Home Supportive Care | 1501 13th Street., Suite G, Columbus, GA 31901 | 2019-02-22 |
| 1750868782 | Health Matters, Inc. | Clinic/Center | 1124 13th St, Columbus, GA 31901 | 2018-07-23 |
| 1447754197 | Charles Chacha Maroa Babere | Student in an Organized Health Care Education/Training Program | Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 | 2018-03-19 |
| 1861912867 | Demetria Laprel Mcgruder | Community Health Worker | 1230 2nd Ave., Columbus, GA 31901 | 2017-06-21 |
| 1679932016 | Crystal Gayle Passmore | Counselor | 233 12th St Ste 334, Columbus, GA 31901 | 2016-02-13 |
| 1700256344 | Kendra Ward | Community Health Worker | 1230 2nd Avenue, Columbus, GA 31901 | 2015-09-25 |
| 1437556701 | Wendy Denise Thomas | Adult Companion | 1501 13th Street Suite F, Columbus, GA 31901 | 2014-12-02 |
| 1134523996 | Danielle Elaine Berry | General Practice | Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 | 2014-10-22 |
| 1710239330 | Kati Michelle Turner | Pharmacist | 1800 10th Avenue, Columbus, GA 31901 | 2012-10-05 |
| Find all providers in zip 31901 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144726605 | Venkataramanaiah Pulivarthi | Internal Medicine | 7976 Ravine Run Ln, Columbus, OH 43235-6454 | 2018-04-03 |
| 1871937730 | Pulmonary Consultants | Internal Medicine | 2045 Centre Stone Court, Columbus, GA 31904 | 2013-04-23 |
| 1780817288 | Jai Surana | Internal Medicine | 500 18th St Ste A30, Columbus, GA 31901-1535 | 2009-08-31 |
| 1740449495 | Ehab Bakir Hussein | Internal Medicine | 2760 Airport Dr Ste 120, Columbus, OH 43219-2290 | 2008-06-07 |
| 1437299617 | Columbus Pulmonary Associates, Inc. | Internal Medicine | 85 Mcnaughten Rd Ste 130, Columbus, OH 43213-5111 | 2007-02-07 |
| 1073685681 | Harold L Dyer | Internal Medicine | 1132 Hunter Ave, Columbus, OH 43201 | 2006-11-15 |
| 1871607556 | Jeffrey E. Weiland | Internal Medicine | 2050 Kenny Rd Ste 2200, Columbus, OH 43221 | 2006-08-18 |
| 1235152273 | Shiva Rahmanian | Internal Medicine | 111 S Grant Ave Fl 2, Columbus, OH 43215-4701 | 2006-07-25 |
| 1720062805 | Central Ohio Pulmonary Disease Inc | Internal Medicine | 745 West State St, Ste 510, Columbus, OH 43222-1515 | 2005-12-02 |
| 1619950474 | Joseph H Cunningham | Internal Medicine | 2760 Airport Dr., Suite 120, Columbus, OH 43219 | 2005-11-25 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.