DR. REX WALLACE TIDWELL


Address: 1601 Watson Blvd., Houston Medical Center, Warner Robins, GA 31093
Phone: 4785427996

DR. REX WALLACE TIDWELL (NPI# 1205902749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205902749
Entity Type Individual
Full Name DR. REX WALLACE TIDWELL
Credential M.D.
Practice Address 1601 Watson Blvd.
Houston Medical Center
Warner Robins
GA 31093
Mailing Address 11811 Ga Highway 74
Forsyth
GA 31029-7409
Practice Telephone 4785427996
Practice Fax Number 4785427943
Mailing Telephone 4789949877
Mailing Fax Number 4789929362
Enumeration Date 2006-11-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
010300 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 1601 WATSON BLVD.
HOUSTON MEDICAL CENTER
City WARNER ROBINS
State GA
Zip Code 31093

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942439716 Simpal Kaur Gill Pathology 1601 Watson Blvd., Sepa Labs @ Houston Medical Center, Warner Robins, GA 31093 2009-07-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922654102 Hui Bostian Technician 402 Pinecrest Dr., Warner Robins, GA 31093 2019-08-14
1457914616 Janvi Hemantkumar Wadiwala Student in an Organized Health Care Education/Training Program 233 North Houston Rd, Suite 140e, Warner Robins, GA 31093 2019-04-15
1477033124 Urological Health Center, PC Urology 1770 Watson Boulevard, Warner Robins, GA 31093 2018-08-21
1477043719 Revealing Strength Counseling, LLC Counselor 2762 Watson Blvd, Warner Robins, GA 31093 2018-05-11
1265930069 Alma J Ellington Counselor 306 North Davis Drive, Suite B Room 4, Warner Robins, GA 31093 2018-01-26
1841707668 Guiding Light Healthcare Services Family Medicine 306 N. Davis Dr., Suite B, Warner Robins, GA 31093 2018-01-02
1083143416 Rosa C Gilbert Counselor 303 Mimosa, Warner Robins, GA 31093 2017-06-08
1982141545 Ariel Young Psychologist 104 Stanton Circle, Warner Robins, GA 31093 2017-01-20
1801259437 Gramps 'n' Grannies, Inc. Assisted Living Facility 502 North Huston Rd., Warner Robins, GA 31093 2016-03-31
1710346903 Brenda Marie Warren Marriage & Family Therapist 106-b Olympia Dr., Warner Robins, GA 31093 2016-02-16
Find all providers in zip 31093

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447342886 William Barry Smith Radiology 11 Willow Lake Dr, Warner Robins, GA 31093-8523 2006-09-29
1801878210 Mark H. Ivey Radiology 320 Margie Drive, Heart of Georgia Medical Associates, Warner Robins, GA 31088-7817 2005-11-19
1003897513 Northwest Diagnostic Imaging, Inc Radiology 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-2997 2005-11-10
1316394976 Northside Imaging LLC Radiology 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-2997 2016-05-24
1356642581 Medical Radiology Consultants, LLC Radiology 1601 Watson Blvd, Warner Robins, GA 31093-3431 2010-11-04
1225260664 Open Mri of Georgia, Inc Radiology 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-2997 2009-08-19
1083854343 Ava Ann Powell Radiology 1601 Watson Blvd, Attn: Radiology Department, Warner Robins, GA 31093-3431 2009-02-26
1336332295 Rebecca Beasley Radiology 1601 Watson Blvd, Warner Robins, GA 31093-3431 2007-08-23
1306049325 Atif Iqbal Rana Radiology 1601 Watson Blvd, Warner Robins, GA 31093-3431 2007-06-07
1003841875 Noman Ahmed Malik Radiology 1601 Watson Blvd, Houston Medical Center, Attn: Radiology Dept, Warner Robins, GA 31093-3431 2006-07-11
Find all providers in WARNER ROBINS

Competitor

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City WARNER ROBINS
Zip Code 31093

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Dataset Information

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.

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