CHRISTOPHER W TIDWELL


Address: 405 W Grand Ave, Dayton, OH 45405-4720
Phone: 9377233210

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 34-007867 OH Allopathic & Osteopathic Physicians

Other Providers CHRISTOPHER TIDWELL

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

Office Location

Street Address 405 W GRAND AVE
City DAYTON
State OH
Zip Code 45405-4720

Providers in the same location

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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Providers in the same zip code

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
Find all providers in zip 45405

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45405

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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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