MARK A TIDSWELL


Address: 759 Chestnut Street, S2668, Springfield, MA 01199
Phone: 4137945439

MARK A TIDSWELL (NPI# 1699722066) 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) 1699722066
Entity Type Individual
Full Name MARK A TIDSWELL
Credential MD
Practice Address 759 Chestnut Street
S2668
Springfield
MA 01199
Mailing Address 280 Chestnut Street
2nd Floor
Springfield
MA 01199
Practice Telephone 4137945439
Practice Fax Number 4137945389
Mailing Telephone 4137945700
Enumeration Date 2006-05-30
Last Update Date 2011-04-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
161219 MA Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
161219 MA Allopathic & Osteopathic Physicians

Office Location

Street Address 759 CHESTNUT STREET
S2668
City SPRINGFIELD
State MA
Zip Code 01199

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548267107 Donal T O'hanlon Psychiatry & Neurology 759 Chestnut Street, S5632, Springfield, MA 01199 2005-06-28
1700404688 Katherine L Pearson Physician Assistant 759 Chestnut Street, Springfield, MA 01107-1619 2020-07-08
1881214294 Jang Garcia Physician Assistant 759 Chestnut Street, Springfield, MA 01107-1619 2020-04-26
1578193470 Brian Michael Perl Pharmacist 759 Chestnut Street, Baystate Pharmacy - Daly 3, Springfield, MA 01199 2020-01-19
1801455464 Kevin John Broems Physician Assistant 759 Chestnut Street, Springfield, MA 01107-1619 2019-06-07
1710455654 Marta Golasinski Nurse Practitioner 759 Chestnut Street, Springfield, MA 01107 2018-11-08
1770051294 Pamela C Mumba Physician Assistant 759 Chestnut Street, Springfield, MA 01107-1619 2018-11-02
1063987030 Ashley Kathryn Provost Physician Assistant 759 Chestnut Street, Springfield, MA 01107-1619 2018-10-05
1396241972 Megan Phillips Physician Assistant 759 Chestnut Street, S3677, Springfield, MA 01107 2018-04-03
1487173175 Kristine Lauren Roth Nurse Practitioner 759 Chestnut Street, 2nd Fl, Springfield, MA 01107 2017-09-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194211227 Alice Perman Leveston Social Worker 759 Chestnut St # S2660, Springfield, MA 01199 2018-07-01
1043732415 Calvin Keith Craig Student in an Organized Health Care Education/Training Program Baystate Medical Center 759 Chestnut Street, Springfield, MA 01199 2017-07-07
1598026494 Yesenia Greeff Internal Medicine 3300 Main St Ste 3a, Springfield, MA 01199 2012-06-06
1912231903 Abistanand Ankam Anesthesiology 759 Chestnut St Department of Anesthesia, Baystate Medical Center, Holyoke, MA 01199 2009-09-24
1205099553 Ejaz Khalid Internal Medicine 759 Chest Nut Street, Department of Internal Medicine Attn Linda Baillargeon, Springfield, MA 01199 2008-07-08
1184817926 Asha Thomas Pediatrics 3300 Main Street 4th Floor, Suite A&b, Springfield, MA 01199 2007-08-24
1730381435 Vicki Weld Social Worker 3300 Main Street, Suite 4a, Springfield, MA 01199 2007-06-04
1699976266 Jim Maloney Physical Therapist 360 Birnie Avenue, Springfield, MA 01199 2007-05-30
1881780690 Lawrence C Peters Psychiatry & Neurology 759 Chestnut Street S5632, Springfield, MA 01199 2006-10-05
1366460222 Stephen A Luippold Registered Nurse 759 Chesnut Street, S2676, Springfield, MA 01199 2006-07-18
Find all providers in zip 01199

Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659313823 Peter White Jr. Internal Medicine 751 N Rutledge St Rm 2100, Springfield, IL 62702-4968 2006-06-12
1558309898 John R. Carlile Internal Medicine 1000 E. Primrose, #200, Springfield, MO 65807-5388 2006-06-02
1134166317 Moin Ahmed Ranginwala Internal Medicine 2029 East High Street, Suite 101, Springfield, OH 45505 2006-05-31
1558311126 Donald G Gumprecht Internal Medicine 543 W Miller St, Springfield, IL 62702-4978 2006-05-12
1083604870 Chih Ming Chen Internal Medicine 2150 Main St, Springfield, MA 01104-3300 2005-10-24
1700275385 Keivan Shalileh Internal Medicine 751 N Rutledge St, Springfield, IL 62702-4968 2015-01-20
1841608890 Mohammad E Abu Hishmeh Internal Medicine 3300 Main Street, 2nd Fl, Suite B, Springfield, MA 01107-1112 2014-07-22
1316353428 Debdoot Saha Internal Medicine 800 E Carpenter St, Springfield, IL 62769 2014-07-09
1528473758 Ammar Syed Internal Medicine 1235 E Cherokee St Rm 194, Springfield, MO 65804-2203 2014-06-26
1710397781 Olaoluwatomi Kehinde Lamikanra Internal Medicine 701 N 1st St, Springfield, IL 62781-0001 2014-04-30
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 01199

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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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