CHRISTOPHER W TIDWELL (NPI# 1538134994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538134994 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER W TIDWELL |
| Credential | D.O. |
| Practice Address |
405 W Grand Ave Dayton OH 45405-4720 |
| Mailing Address |
249 Signature Dr S Xenia OH 45385-8903 |
| Practice Telephone | 9377233210 |
| Mailing Telephone | 9373472116 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2007-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 34-007867 | OH | Allopathic & Osteopathic Physicians |
| 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 |
| 1114032323 | Christopher K Tidwell | Internal Medicine | 1538 13th Ave, C100, Columbus, GA 31901-1595 | 2006-08-20 |
| Street Address |
405 W GRAND AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45405-4720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767758 | Edward Ewing | Pathology | 405 W Grand Ave, Dayton, OH 45405-4720 | 2005-06-01 |
| 1316559065 | Ashton Vandyke | Pharmacist | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-08-23 |
| 1740892132 | Garrett Thomason | Registered Nurse | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-08-18 |
| 1558971291 | Kaitlyn Copeland | Nurse Practitioner | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-08-07 |
| 1093335176 | Ashley Nicole Howell | Surgery | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-20 |
| 1669091310 | Jody Marie Anderson | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-13 |
| 1326677501 | Andrea Lynn Forray | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-08 |
| 1275162893 | Kelsey Quin | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-06 |
| 1790314417 | Tsedey Biru Juka | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-04 |
| 1962031716 | Pratik Wagle | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497252613 | Christina Giuffrida | Student in an Organized Health Care Education/Training Program | Grandview Medical Center, Ou Medical Education Office, 405 W. Grand Avenue, Dayton, OH 45405 | 2018-04-13 |
| 1740718410 | Iain William Decker | Student in an Organized Health Care Education/Training Program | 330 Forest Ave, Dayton, OH 45405 | 2017-05-25 |
| 1144779000 | Horizon Home Healthcare Service, LLC | Home Health | 201 Riverside Dr Ste 2h, Dayton, OH 45405 | 2016-10-03 |
| 1629347695 | Grandview Hospital | General Acute Care Hospital | 405 West Grand Avenue, Dayton, OH 45405 | 2011-12-21 |
| 1962712265 | Lakisha L Barber | Licensed Practical Nurse | 2039 Rustic Road, Dayton, OH 45405 | 2010-10-20 |
| 1457685232 | Sally Ann Easton | Occupational Therapy Assistant | 1390 King Tree Drive, Dayton, OH 45405 | 2009-09-25 |
| 1083848535 | Azeem Z. Vasi | Otolaryngology | 405 W. Grand Ave., Grandview Hospital and Medical Center- Medical Educatio, Dayton, OH 45405 | 2009-05-13 |
| 1588823306 | Dorothy W Clarke | Dietitian, Registered | 405 W Grand, Dayton, OH 45405 | 2008-06-06 |
| 1831243062 | Brian Michael Glenn | Nurse Anesthetist, Certified Registered | 450 W. Grand Avenue, Dayton, OH 45405 | 2007-01-23 |
| 1003989807 | Han Mok Yang | Internal Medicine | 3213 North Main Street, Dayton, OH 45405 | 2006-11-17 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275875437 | Stephanie I Haddad | Emergency Medicine | 10 Julia Way, Dayton, NJ 08810-1308 | 2013-03-26 |
| 1679702294 | Leslie Rae Dye | Emergency Medicine | 601 South Edwin C Moses Rd, Dayton, OH 45417-3424 | 2009-07-02 |
| 1215080049 | Charles Mcintosh | Emergency Medicine | 405 W. Grand Avenue, Dayton, OH 45405-4796 | 2007-01-18 |
| 1134210347 | Bryan T. Fitzgerald | Emergency Medicine | 5664 Stone Lake Dr, Dayton, OH 45429-6001 | 2006-09-27 |
| 1558851568 | Emergency Medicine Specialists, Inc. | Emergency Medicine | 405 W Grand Ave, Dayton, OH 45405-7538 | 2018-05-15 |
| 1710410998 | Justin Jefferey Lake | Emergency Medicine | 405 W Grand Ave, Dayton, OH 45405-7538 | 2017-04-05 |
| 1053843870 | Vincent Christopher Marsh | Emergency Medicine | 1 Wyoming St, Dayton, OH 45409-2722 | 2017-03-30 |
| 1215390455 | Bonnie Marmora | Emergency Medicine | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2016-04-04 |
| 1952780322 | Adam Wiercinski | Emergency Medicine | 405 W Grand Ave, Medical Education Department, Dayton, OH 45405-4720 | 2015-05-19 |
| 1477931871 | Keri Alison Childers | Emergency Medicine | 405 W Grand Ave, Medical Education Department, Dayton, OH 45405-4720 | 2015-05-18 |
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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.