TAYLOR REED TIDMORE (NPI# 1699879874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699879874 |
| Entity Type | Individual |
| Full Name | TAYLOR REED TIDMORE |
| Credential | MD |
| Practice Address |
1233 N 18th St Abilene TX 79601-2932 |
| Practice Telephone | 3254373687 |
| Practice Fax Number | 3254371827 |
| Mailing Telephone | 3254373687 |
| Mailing Fax Number | 3254371827 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2012-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | M6917 | TX | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | T2003013847 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 196006401 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821656729 | Taylor Nichole Tidmore | Speech-Language Pathologist | 3057 Lorna Rd Ste 220, Vestavia Hills, AL 35216-4518 | 2019-06-05 |
| Street Address |
1233 N 18TH ST |
| City | ABILENE |
| State | TX |
| Zip Code | 79601-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508819590 | Jeffrey Merle Braaten | Otolaryngology | 1233 N 18th St, Abilene, TX 79601-2932 | 2006-05-18 |
| 1710433164 | Steven Hamlett | Audiologist | 1233 N 18th St, Abilene, TX 79601-2932 | 2016-08-26 |
| 1437501095 | Kelsey Nicole Walker-may | Audiologist | 1233 N 18th St, Abilene, TX 79601-2932 | 2016-07-07 |
| 1487953410 | Lucy P Vinson | Hearing Instrument Specialist | 1233 N 18th St, Abilene, TX 79601-2932 | 2011-03-16 |
| 1447570619 | Christopher Ross Thompson | Otolaryngology | 1233 N 18th St, Abilene, TX 79601-2932 | 2010-06-10 |
| 1871773218 | Rachel Pauline Parkhill | Nurse Practitioner | 1233 N 18th St, Abilene, TX 79601-2932 | 2007-11-13 |
| 1487691432 | Gary Duance Goodnight | Otolaryngology | 1233 N 18th St, Abilene, TX 79601-2932 | 2006-05-31 |
| 1316990336 | Ent Specialists of Abilene, LLP | Hearing Instrument Specialist | 1233 N 18th St, Abilene, TX 79601-2932 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161022 | Hendrick Health Urgent Care | Clinic/Center | 820 E Ambler Ave, Abilene, TX 79601 | 2020-10-15 |
| 1396303285 | Hardin-simmons University | Counselor | 917 Lineberry Blvd, Abilene, TX 79601 | 2019-06-05 |
| 1053874446 | Pharmscript of West Texas LLC | Pharmacy | 2118 E Overland Trl, Abilene, TX 79601 | 2019-04-11 |
| 1720523475 | Orsburn House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3602 N Clack, Abilene, TX 79601 | 2017-01-04 |
| 1316480684 | Thaddee Uwimana | Nurse Practitioner | 1749 Pine Street, Abilene, TX 79601 | 2016-11-18 |
| 1760938484 | Maya Natori | Specialist/Technologist | 108 Teague, Box 27916 Special Events Center Acu, Abilene, TX 79601 | 2016-09-01 |
| 1588016042 | Chucky Okoh | Nurse Practitioner | 13055 Sm 3522, Abilene, TX 79601 | 2016-07-08 |
| 1730539354 | Billy Bible | Social Worker | 1418 Newcastle Drive, Abilene, TX 79601 | 2016-06-14 |
| 1366840605 | Totoe Medical Group, Pllc | Internal Medicine | 1850 Hickory St., Suite 105, Abilene, TX 79601 | 2014-12-19 |
| 1831591395 | Abilene Christian University | Clinic/Center | 845 Coliseum Way, Abilene, TX 79601 | 2014-09-16 |
| Find all providers in zip 79601 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.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 Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144337510 | Austin I King | Otolaryngology | 2217 S Danville Dr, Abilene, TX 79605-4719 | 2006-08-23 |
| 1508819590 | Jeffrey Merle Braaten | Otolaryngology | 1233 N 18th St, Abilene, TX 79601-2932 | 2006-05-18 |
| 1447570619 | Christopher Ross Thompson | Otolaryngology | 1233 N 18th St, Abilene, TX 79601-2932 | 2010-06-10 |
| 1295956159 | Austin I. King Md, Pa | Otolaryngology | 2217 S Danville Dr, Abilene, TX 79605-4719 | 2007-05-01 |
| 1740380534 | Jason Luis Acevedo | Otolaryngology | 1665 Antilley Rd, Ste 160, Abilene, TX 79606-5265 | 2006-09-22 |
| 1194743260 | Thomas Wade Cotney | Otolaryngology | 1665 Antilley Rd, Suite 180, Abilene, TX 79606-5265 | 2006-07-17 |
| 1487691432 | Gary Duance Goodnight | Otolaryngology | 1233 N 18th St, Abilene, TX 79601-2932 | 2006-05-31 |
| 1821042391 | Theodore C Dyer | Otolaryngology | 1900 Pine St, Room 4653, Abilene, TX 79601-2432 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919308 | Cgn Epent Pllc | Otolaryngology | 5959 Gateway Blvd W Ste 160, El Paso, TX 79925-3315 | 2020-10-09 |
| 1154937886 | Robert Harold Miller | Otolaryngology | 2616 Wroxton Rd, Houston, TX 77005-1312 | 2020-09-18 |
| 1700401072 | Givens Facial Plastic Surgery Pllc | Otolaryngology | 3939 Bee Caves Rd Ste B3, West Lake Hills, TX 78746-6429 | 2020-06-12 |
| 1649811332 | Jorge J Arango Md Pllc | Otolaryngology | 5959 Gateway Blvd W Ste 104, El Paso, TX 79925-3315 | 2019-10-03 |
| 1194374843 | Yelda Jozaghi | Otolaryngology | 1515 Holcombe Blvd # 1445, Houston, TX 77030-4000 | 2019-09-05 |
| 1053883405 | Cosmedic Wellness Centers, Inc | Otolaryngology | 510 E. Hwy 377, Granbury, TX 76048-2556 | 2018-12-26 |
| 1942778253 | Donelson Neal Shannon | Otolaryngology | 2704 Hanover St, Dallas, TX 75225-7922 | 2018-11-05 |
| 1467968867 | Metroplex Ent & Allergy Pllc | Otolaryngology | 2021 N Macarthur Blvd Ste 225, Irving, TX 75061-2219 | 2017-12-20 |
| 1922522804 | East Texas Sinus and Dizziness Center, Pllc | Otolaryngology | 901 Pegues Pl, Longview, TX 75601-4027 | 2017-08-01 |
| 1720437155 | Central Park Ear Nose & Throat LLP Fort Worth | Otolaryngology | 800 8th Ave Ste 618, Fort Worth, TX 76104-2605 | 2016-06-07 |
| Find all providers with the same taxonomy | ||||
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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.