Timothy N Tidwell (NPI# 1275972325, PAC ID# 4688891542) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1275972325 |
| PAC ID by PECOS | 4688891542 |
| Professional Enrollment ID | I20180820003129 |
| Full Name | Timothy N Tidwell |
| Organization Legal Name | PACIFIC CENTRAL COAST HEALTH CENTERS |
| Address |
5920 W Mall Atascadero CA 93422-4232 |
| Phone Number | 8054660676 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9739091364 |
| Number of Group Practice Members | 155 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050232 | FRENCH HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5920 W Mall, Atascadero, CA 93422-4232 | 8054660676 | PACIFIC CENTRAL COAST HEALTH CENTERS |
| 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 8057393890 | PACIFIC CENTRAL COAST HEALTH CENTERS |
| Organization Legal Name | PACIFIC CENTRAL COAST HEALTH CENTERS |
| Physicians | 183 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Isaiah James Coupland Roggow | Family Medicine | Pacific Central Coast Health Centers | 2271 S Depot St, Santa Maria, CA 93455-1216 |
| Rebecca K Jones | Obstetrics/gynecology | Pacific Central Coast Health Centers | 220 S Palisade Dr, Suite 203, Santa Maria, CA 93454-8903 |
| Scott Patrick Piazza | Family Medicine | Pacific Central Coast Health Centers | 1400 E Church St, 8 Family Medicine Center, Santa Maria, CA 93454-5906 |
| Christina Henry | Physician Assistant | Pacific Central Coast Health Centers | 340 E Betteravia Rd, Suite Acd, Santa Maria, CA 93454-7847 |
| James Thomas Link | Hematology/oncology | Pacific Central Coast Health Centers | 715 Tank Farm Rd C, San Luis Obispo, CA 93401-7068 |
| Taimur Latif Chaudhry | Obstetrics/gynecology | Pacific Central Coast Health Centers | 116 S Palisade Dr, Suite 104, Santa Maria, CA 93454-8905 |
| Hannah Scobel Pisklov | Physician Assistant | Pacific Central Coast Health Centers | 685 Morro Ave C, Morro Bay, CA 93442-2233 |
| Terry Chen | Family Medicine | Pacific Central Coast Health Centers | 2 James Way, 209 Medical Clinic At James Way, Pismo Beach, CA 93449-4976 |
| Meghan Mckiernan | Family Medicine | Pacific Central Coast Health Centers | 2238 Bayview Heights Dr, Suite G, Los Osos, CA 93402-3930 |
| Farnaz Pirayesh | Family Medicine | Pacific Central Coast Health Centers | 5075 S Bradley Rd, Suite 131, Santa Maria, CA 93455-5077 |
| Street Address |
5920 W MALL |
| City | ATASCADERO |
| State | CA |
| Zip | 93422-4232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa T Vasak | Internal Medicine | Pacific Central Coast Health Centers | 5920 W Mall, Atascadero, CA 93422-4232 |
| Jennifer Lee Gingrich | Physician Assistant | Pacific Central Coast Health Centers | 5920 W Mall, Atascadero, CA 93422-4232 |
| Kristen Schalck | Physician Assistant | Pacific Central Coast Health Centers | 5920 W Mall, Atascadero, CA 93422-4232 |
| Jennifer A Rocha | Physician Assistant | Pacific Central Coast Health Centers | 5920 W Mall, Atascadero, CA 93422-4232 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Angelica M Flores | Nurse Practitioner | Pain Management Specialists Medical Group | 5000 San Palo Rd, Suite 101, Atascadero, CA 93422-2481 |
| Suzanne J Mccurdy | Nurse Practitioner | Pain Management Specialists Medical Group | 5000 San Palo Rd, Suite 101, Atascadero, CA 93422-2481 |
| Cindy M Mitchell | Psychologist, Clinical | 3528 El Camino Real, Atascadero, CA 93422-2531 | |
| Darren R Hart | Chiropractic | 3546 El Camino Real, Atascadero, CA 93422-2532 | |
| Jerry D Ralston | Chiropractic | 4305 El Camino Real, Atascadero, CA 93422-2567 | |
| Larry S Hirsch | Obstetrics/gynecology | 4555 El Camino, Atascadero, CA 93422-2700 | |
| Mary L Amedeo | Clinical Social Worker | 4401 El Camino Real, Atascadero, CA 93422-2708 | |
| Mary R Kaltenbach | Chiropractic | 4605 El Camino Real B, Atascadero, CA 93422-2758 | |
| Janev Alicia Alvarez | Physical Therapy | Anthony Wallace | 5255 El Camino Real, Suite C, Atascadero, CA 93422-3351 |
| Wendy Ann Westphal | Physical Therapy | Anthony Wallace | 5255 El Camino Real, Suite C, Atascadero, CA 93422-3351 |
| Find all physicians in zip 93422 | |||
| City | ATASCADERO |
| Zip Code | 93422 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ATASCADERO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Timothy N Tidwell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.