DOUGLAS TIDWELL (NPI# 1689079337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICARE | IB924Z | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
4435 Spahn St, Sarasota, FL 342325135 | 9417262082 | 9417860960 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265672505 | Douglas Tidwell | Perfusionist | 580 Lincoln Park Blvd, Suite 322, Kettering, OH 45429-3474 | 2009-02-26 |
Street Address |
5955 RAND BLVD |
City | SARASOTA |
State | FL |
Zip Code | 34238-5160 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 34238 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in SARASOTA |
Please comment or provide details below to improve the information on DOUGLAS TIDWELL.
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.