Pat T Tidwell Sr.


Address: 4554 E Hwy 20, Niceville, FL 32578-9755

Pat T Tidwell Sr. (NPI# 1184758526, PAC ID# 6002077047) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1184758526
PAC ID by PECOS 6002077047
Professional Enrollment ID I20120418000332
Full Name Pat T Tidwell Sr.
Address 4554 E Hwy 20
Niceville
FL 32578-9755
Gender M
Medical School UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year 1974
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100054 TWIN CITIES HOSPITAL
100223 FORT WALTON BEACH MEDICAL CENTER
100292 SACRED HEART HOSPITAL ON THE EMERALD COAST

Other Locations

Address Phone Organization
4554 E Hwy 20, Niceville, FL 32578-9755

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 4554 E HWY 20
City NICEVILLE
State FL
Zip 32578-9755

Physicians in the same location

Name Specialty Organization Address
Sean C Hodson Podiatry 4554 E Hwy 20, Niceville, FL 32578-9755
Sarah M Meleen Physician Assistant Access Medical Group, P.a. 4554 E Hwy 20, Niceville, FL 32578-5008
Allan L Fedosky Family Medicine Access Medical Group, P.a. 4554 E Hwy 20, Niceville, FL 32578-5008
Jessica B Rapa Physician Assistant Access Medical Group, P.a. 4554 E Hwy 20, Niceville, FL 32578-5008

Physicians in the same zip code

Name Specialty Organization Address
Monica Panwar Barnes Internal Medicine Flat Top Inpatient Services LLC 2190 Hwy 85 N, Niceville, FL 32578-1045
Kapil Puri Urology 490 Hwy 85 N A, Niceville, FL 32578-1045
Joe E Rogers Jr. Nurse Practitioner Flat Top Inpatient Services LLC 2190 Hwy 85 N, Niceville, FL 32578-1045
Michelle A Magboo Nurse Practitioner Flat Top Inpatient Services LLC 2190 Hwy 85 N, Niceville, FL 32578-1045
Zachary W Wilson Emergency Medicine Flagstone Peak Emergency Physicians LLC 2190 Hwy 85 N, Niceville, FL 32578-1045
Jeffrey S Burbidge Anesthesiology Twin Cities Anesthesia Associates Pl 2190 Hwy 85 N, Niceville, FL 32578-1045
Leslie J Bridges Nurse Practitioner Flat Top Inpatient Services LLC 2190 Hwy 85 N, Niceville, FL 32578-1045
Ekta I Kade Nurse Practitioner Flat Top Inpatient Services LLC 2190 Hwy 85 N, Niceville, FL 32578-1045
Katrina L. Tringas Anesthesiology Twin Cities Anesthesia Associates Pl 2190 Hwy 85 N, Niceville, FL 32578-1045
William S Carlson Emergency Medicine Flagstone Peak Emergency Physicians LLC 2190 Hwy 85 N, Niceville, FL 32578-1045
Find all physicians in zip 32578

Competitor

Search similar physicians

City NICEVILLE
Zip Code 32578
Specialty FAMILY MEDICINE
City + Specialty NICEVILLE + FAMILY MEDICINE

Improve Information

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Dataset Information

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.

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