DR. JAMES TIDWELL (NPI# 1114920600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114920600 |
| Entity Type | Individual |
| Full Name | DR. JAMES TIDWELL |
| Credential | MD, MPH |
| Practice Address |
9480 El Tejado Rd La Mesa CA 91941-4462 |
| Practice Telephone | 6196969800 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | G047644 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942427380 | James Elliott Tidwell IIi | Plastic Surgery | 1000 Breckenridge St, Suite 303, Owensboro, KY 42303-0839 | 2007-04-19 |
| Street Address |
9480 EL TEJADO RD |
| City | LA MESA |
| State | CA |
| Zip Code | 91941-4462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914588 | Aja Encinas | Midwife | 9461 Grossmont Summit Drive Suite A, La Mesa, CA 91941 | 2019-10-23 |
| 1750889861 | Kasey Higgins | Nurse Practitioner | 10862 Calle Verde # S93, La Mesa, CA 91941 | 2018-01-24 |
| 1801325238 | Edward Rabinovich, Dds, Inc. | Dentist | 3855 Avocado Blvd., Ste. 250, La Mesa, CA 91941 | 2017-06-08 |
| 1003204140 | Cierra Lancaster | Case Manager/Care Coordinator | 4287 Palm Ave #32, La Mesa, CA 91941 | 2014-12-23 |
| 1710388533 | Affordable In Home Care | Home Health | 7953 Lemon Circle, La Mesa, CA 91941 | 2014-09-11 |
| 1902206063 | Rachel Llanes | Marriage & Family Therapist | 4849 Schuyler Avenue, La Mesa, CA 91941 | 2014-08-26 |
| 1497185540 | Benjamin J Mandel | Dentist | 3835 Avocado Blvd #220, Lamesa, CA 91941 | 2013-11-26 |
| 1487084901 | Accuquest Hearing Centers | Clinic/Center | 5105 Garfield Street, La Mesa, CA 91941 | 2013-11-19 |
| 1447551353 | John Chuol Kuek | Marriage & Family Therapist | 4060 Fairmount Avenue, San Diego, CA 91941 | 2010-11-09 |
| 1588808463 | Aesthetic Arts Institute of Plastic Surgery, LLC | Clinic/Center | 8415 Grant Avenue, La Mesa, CA 91941 | 2009-04-23 |
| Find all providers in zip 91941 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114292778 | Philip Joseph Gelber | Ophthalmology | 4731 Divine Way, La Mesa, CA 91941-6832 | 2012-03-15 |
| 1396715991 | David J Najafi | Ophthalmology | 8262 University Ave, La Mesa, CA 91942 | 2006-01-25 |
| 1366448243 | Paul L Treger Md A Medical Corporation | Ophthalmology | 7877 Parkway Dr, Ste 100, La Mesa, CA 91942-2000 | 2005-06-24 |
| 1619973591 | Alvarado Eye Associates Med Clinic Inc | Ophthalmology | 7877 Parkway Dr., Suite# 100, La Mesa, CA 91942-2000 | 2005-06-24 |
| 1871016808 | Retina Institute of California | Ophthalmology | 5565 Grossmont Center Dr # 2-3, La Mesa, CA 91942-3020 | 2017-07-21 |
| 1225304108 | Jeffrey P Wasserstrom Md A Medical Corporation | Ophthalmology | 5565 Grossmont Center Dr, Bldg 3 Suite 551, La Mesa, CA 91942-3020 | 2012-03-26 |
| 1912273970 | Lawrence S Rice, Md, A Medical Corporation | Ophthalmology | 5565 Grossmont Center Dr, Suite 551, La Mesa, CA 91942-3020 | 2012-03-23 |
| 1477879823 | Heidrun Gollogly | Ophthalmology | 5565 Grossmont Center Dr Ste 3, La Mesa, CA 91942 | 2010-04-09 |
| 1144492455 | Kuljinder S Grewal M D PC | Ophthalmology | 8881 Fletcher Pkwy, Suite 104, La Mesa, CA 91942-3134 | 2008-03-26 |
| 1447311899 | Paul Leslie Treger | Ophthalmology | 7877 Parkway Dr, Suite 100, La Mesa, CA 91942-2000 | 2006-12-12 |
| Find all providers in LA MESA | ||||
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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.