DOUGLAS TIDWELL


Address: 5955 Rand Blvd, Sarasota, FL 34238-5160
Phone: 9415527508

DOUGLAS TIDWELL (NPI# 1689079337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689079337
Entity Type Individual
Full Name DOUGLAS TIDWELL
Credential MSN, ARNP, FNP-C
Practice Address 5955 Rand Blvd
Sarasota
FL 34238-5160
Mailing Address 4435 Spahn St
Sarasota
FL 34232-5135
Practice Telephone 9415527508
Practice Fax Number 9415527605
Mailing Telephone 9417262082
Mailing Fax Number 9417860960
Enumeration Date 2014-10-23
Last Update Date 2019-11-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
APRN9326689 FL Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
9326689 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICARE IB924Z 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
4435 Spahn St, Sarasota, FL 342325135 9417262082 9417860960

Other Providers DOUGLAS TIDWELL

NPI Name Taxonomy Address Enumeration
1265672505 Douglas Tidwell Perfusionist 580 Lincoln Park Blvd, Suite 322, Kettering, OH 45429-3474 2009-02-26

Office Location

Street Address 5955 RAND BLVD
City SARASOTA
State FL
Zip Code 34238-5160

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467454538 Judith Anne Pollett Pain Medicine 5955 Rand Blvd, Sarasota, FL 34238-5160 2005-06-02
1760946438 Lynn Bethea Schwarz Nurse Practitioner 5955 Rand Blvd, Sarasota, FL 34238-5160 2019-01-28
1437508942 Allison Rose Salib Internal Medicine 5955 Rand Blvd, Sarasota, FL 34238-5160 2016-06-06
1407213549 Beth Wispelwey Nurse Practitioner 5955 Rand Blvd, Sarasota, FL 34238-5160 2016-01-20
1548652118 Joann Heaton Nurse Practitioner 5955 Rand Blvd, Sarasota, FL 34238-5160 2015-02-19
1801285135 Tidewell Hospice, Inc. Nurse Practitioner 5955 Rand Blvd, Sarasota, FL 34238-5160 2015-01-09
1578961959 Carrie Anne Miranda Nurse Practitioner 5955 Rand Blvd, Sarasota, FL 34238-5160 2014-12-16
1710312236 Lorie Thompson Internal Medicine 5955 Rand Blvd, Sarasota, FL 34238-5160 2013-09-04
1871833954 Lorriane June Dengler Nurse Practitioner 5955 Rand Blvd, Sarasota, FL 34238-5160 2013-02-26
1134463748 Amie Jacqueline Miller Nurse Practitioner 5955 Rand Blvd, Sarasota, FL 34238-5160 2012-11-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396257168 Strickland Family Dentistry Clinic/Center 8551 S. Tamiami Trail, Sarasota, FL 34238 2017-11-01
1043734031 Michael Roy Guralnik Acupuncturist 6213 Weymouth Dr, Sarasota, FL 34238 2017-08-01
1275991424 James Orr Physical Therapist 5581 Rand Blvd, Sarasota, FL 34238 2016-02-03
1760848527 Krause Dental Dentist 7208 Beneva Road South, Sarasota, FL 34238 2016-01-11
1720467632 Marco Antunez Physical Therapy Assistant 4954 Oldham St, Sarasota, FL 34238 2015-05-26
1629403506 Multi-task Genie, LLC Dba Allied Pro-health Care Nursing Care 8620 S Tamiami Trail, Suite D, Sarasota, FL 34238 2013-09-10
1831443597 Jessica Thomason Pharmacist 8201 South Tamiami Trail, Sarasota, FL 34238 2012-11-02
1164772521 Eucarice X Richmond Physical Therapy Assistant 5111 Palmer Ranch Parkway, Sarasota, FL 34238 2012-09-13
1306194907 Intellihealth, LLC Social Worker 6228 Donnington Ct, Sarasota, FL 34238 2012-08-29
1366706046 Costco Wholesale Corporation Pharmacy 8201 S Tamiami Trl Unit 501, Sarasota, FL 34238 2012-06-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609477348 Danielle Schmidt Nurse Practitioner 7803 34th Ct E, Sarasota, FL 34243-2867 2020-11-07
1902411283 Chelsea Dingus Nurse Practitioner 5741 Bee Ridge Rd Ste 120, Sarasota, FL 34233-5060 2020-09-13
1447878343 Madeline Noel Michaud Nurse Practitioner 2362 Cambridge Dr, Sarasota, FL 34232-3818 2020-07-08
1144878836 Lisa Mae Nurse Practitioner 3900 Clark Rd Ste B1, Sarasota, FL 34233-2369 2019-08-27
1427605583 Danielle Nicole Davis Nurse Practitioner 3457 Fairview Dr, Sarasota, FL 34239-4932 2019-08-23
1730734138 Diana Kay Perrin Nurse Practitioner 6940 Prosperity Cir, Sarasota, FL 34238-1508 2019-08-03
1770137390 Lynne Ruth Streitmatter Nurse Practitioner 4667 Stone Ridge Trl, Sarasota, FL 34232-3030 2019-07-31
1871146613 Kristin Mceachern Nurse Practitioner 6955 El Camino Dr, Sarasota, FL 34240-9566 2019-07-22
1437702339 Nicole Brandon Higel-backes Nurse Practitioner 1540 S Tamiami Trl Ste 204, Sarasota, FL 34239-2921 2019-07-19
1710548896 Rachel Goldman Aronow Nurse Practitioner 4530 Murcia Blvd, Sarasota, FL 34238-4598 2019-06-27
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Competitor

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City SARASOTA
Zip Code 34238

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Dataset Information

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.

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