DR. JOHN W. TIDWELL II (NPI# 1790781805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790781805 |
| Entity Type | Individual |
| Full Name | DR. JOHN W. TIDWELL II |
| Credential | MD |
| Practice Address |
2801 Randolph Rd Ste 200 Charlotte NC 28211-1051 |
| Practice Telephone | 7043775675 |
| Practice Fax Number | 7043358163 |
| Mailing Telephone | 7043775675 |
| Mailing Fax Number | 7043358163 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 17907 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | N17907 | 05 | |
| NC | 8983480 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184885519 | John Edward Tidwell | Orthopaedic Surgery | 729 N Medical Center Dr W, Suite 111, Clovis, CA 93611-6879 | 2008-06-18 |
| 1003906835 | John K. Tidwell | Dentist | 1801 Nw Market St, Suite 108, Seattle, WA 98107-3987 | 2006-10-13 |
| Street Address |
2801 RANDOLPH RD STE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184628901 | Maxwell Greenman | Ophthalmology | 2801 Randolph Rd, Ste 200, Charlotte, NC 28211-1047 | 2005-06-09 |
| 1639621253 | Robert Christenbery IIi | Physician Assistant | 2801 Randolph Rd, Suite 100, Charlotte, NC 28211-1047 | 2016-10-31 |
| 1235479155 | Novant Medical Group, Inc | Psychiatry & Neurology | 2801 Randolph Rd, Suite 101, Charlotte, NC 28211-1051 | 2013-03-01 |
| 1336222900 | Eric Eskioglu | Neurological Surgery | 2801 Randolph Rd, Suite 100, Charlotte, NC 28211-1047 | 2006-10-24 |
| 1174540173 | Samuel R Borsellino | Neurological Surgery | 2801 Randolph Rd, Suite 100, Charlotte, NC 28211-1047 | 2006-07-16 |
| 1801853270 | Greenman Eye Associates Pllc | Ophthalmology | 2801 Randolph Rd, Suite 200, Charlotte, NC 28211-1047 | 2006-04-28 |
| 1801850342 | David B Greenman | Ophthalmology | 2801 Randolph Rd, Suite 200, Charlotte, NC 28211-1047 | 2006-04-13 |
| 1720041593 | Novant Medical Group, Inc. | Physical Medicine & Rehabilitation | 2801 Randolph Rd, Suite 100, Charlotte, NC 28211-1051 | 2006-04-11 |
| 1447236187 | Stephen W Hipp | Specialist | 2801 Randolph Rd, Suite 100, Charlotte, NC 28211-1047 | 2005-12-15 |
| 1083608384 | Thomas Hayes Woollen | Family Medicine | 2801 Randolph Rd, Suite 101, Charlotte, NC 28211-1047 | 2005-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649899782 | Atrium Health North Market Network LLC | Obstetrics & Gynecology | 101 E Wt Harris Blvd Ste 5002, Charlotte, NC 28262-3588 | 2020-04-09 |
| 1528617362 | Arboretum Obstetrics & Gynecology | Obstetrics & Gynecology | 3125 Springbank Ln Ste B, Charlotte, NC 28226-3379 | 2019-09-04 |
| 1548624992 | Cassandra Yoder | Obstetrics & Gynecology | 1350 S. Kings Dr., Myers Park Clinic Ob/gyn, Charlotte, NC 28207 | 2016-04-12 |
| 1043690480 | Elizabeth Lindsay Montague-farwell | Obstetrics & Gynecology | 416 E 36th St Su 200, Charlotte, NC 28205 | 2015-06-01 |
| 1285048181 | Katie Mellington Vemireddy | Obstetrics & Gynecology | 8201 Healthcare Loop Ste 302, Charlotte, NC 28215-7072 | 2014-06-18 |
| 1467899948 | Chancy Lucas | Obstetrics & Gynecology | 325 Hawthorne Ln Ste 200, Charlotte, NC 28204 | 2013-05-24 |
| 1750727293 | Stephanie Barbadora-froelich | Obstetrics & Gynecology | 416 E 36th St Ste 200, Charlotte, NC 28205 | 2013-05-10 |
| 1992076509 | Novant Medical Group, Inc | Obstetrics & Gynecology | 11030 Golf Links Dr N, Suite 100, Charlotte, NC 28277-8200 | 2012-01-13 |
| 1073898805 | Novant Medical Group Inc | Obstetrics & Gynecology | 2610 West Arrowood Road, Charlotte, NC 28273-6134 | 2011-10-12 |
| 1164714788 | Patricia Jane Mattingly | Obstetrics & Gynecology | 6324 Fairview Rd Ste 390, Charlotte, NC 28210-4173 | 2011-05-16 |
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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.