Stephen C Tidwell (NPI# 1326149683, PAC ID# 4981738754) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1326149683 |
| PAC ID by PECOS | 4981738754 |
| Professional Enrollment ID | I20100816000379 |
| Full Name | Stephen C Tidwell |
| Organization Legal Name | ASSOCIATES IN OBSTETRICS AND GYNECOLOGY, PC |
| Address |
1250 Broadrick Dr Dalton GA 30720-2503 |
| Phone Number | 7062784640 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 5092701029 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110001 | HAMILTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1250 Broadrick Dr, Dalton, GA 30720-2503 | 7062784640 | ASSOCIATES IN OBSTETRICS AND GYNECOLOGY, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ASSOCIATES IN OBSTETRICS AND GYNECOLOGY, PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric F Calfee | Obstetrics/gynecology | Associates In Obstetrics and Gynecology, PC | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Angela S Wood | Obstetrics/gynecology | Associates In Obstetrics and Gynecology, PC | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Neetu Gupta | Obstetrics/gynecology | Associates In Obstetrics and Gynecology, PC | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Richard Mclester Loftis Jr. | Obstetrics/gynecology | Associates In Obstetrics and Gynecology, PC | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Mathew D Smith | Obstetrics/gynecology | Associates In Obstetrics and Gynecology, PC | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Christine M Sager | Obstetrics/gynecology | Associates In Obstetrics and Gynecology, PC | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Jessica H Williams | Obstetrics/gynecology | Associates In Obstetrics and Gynecology, PC | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Street Address |
1250 BROADRICK DR |
| City | DALTON |
| State | GA |
| Zip | 30720-2503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Isaac Tew | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Dalton | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Melissa J Holman | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Dalton | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Eric F Calfee | Obstetrics/gynecology | Associates In Obstetrics and Gynecology, PC | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Angela S Wood | Obstetrics/gynecology | Associates In Obstetrics and Gynecology, PC | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Neetu Gupta | Obstetrics/gynecology | Associates In Obstetrics and Gynecology, PC | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Samantha Griffin | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Dalton | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Richard Mclester Loftis Jr. | Obstetrics/gynecology | Associates In Obstetrics and Gynecology, PC | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Patrick O'ferrall | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Dalton | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Brittany Scruggs | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Dalton | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Callie Cobb | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Dalton | 1250 Broadrick Dr, Dalton, GA 30720-2503 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven C Knox | Chiropractic | Family Chiropractic Center, Inc. | 310 N Thorton Ave, Dalton, GA 30720 |
| Benjamin R Read | Chiropractic | Family Chiropractic Center, Inc. | 310 N Thorton Ave, Dalton, GA 30720 |
| William B Ramsey | Chiropractic | Family Chiropractic Center, Inc. | 310 N Thorton Ave, Dalton, GA 30720 |
| Robin L Roe | Nurse Practitioner | Wal-mart Stores East Lp | 518 Shugart Rd, Dalton, GA 30720-2444 |
| Season N Flores | Clinical Social Worker | Highland Rivers Community Service Board | 900 Shugart Rd, Suite A, Dalton, GA 30720-2467 |
| Allison A Bond | Physician Assistant | Williams Plastic and Reconstructive Surgery, PC | 1506 Professional Court, Dalton, GA 30720-2500 |
| Ido Friedman | Podiatry | Village Podiatry Group, LLC. | 1505 Professional Ct, Dalton, GA 30720-2500 |
| Joel A Williams Iii | Plastic and Reconstructive Surgery | Williams Plastic and Reconstructive Surgery, PC | 1506 Professional Court, Dalton, GA 30720-2500 |
| Lindsay Bright | Nurse Practitioner | Williams Plastic and Reconstructive Surgery, PC | 1506 Professional Court, Dalton, GA 30720-2500 |
| Kimberly Bailey | Nurse Practitioner | Hamilton Physician Group, Inc | 1212 Broadrick Dr, Dalton, GA 30720-2503 |
| Find all physicians in zip 30720 | |||
| City | DALTON |
| Zip Code | 30720 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | DALTON + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Stephen C 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.