DR. GREGG TIDRICK (NPI# 1841856598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841856598 |
| Entity Type | Individual |
| Full Name | DR. GREGG TIDRICK |
| Credential | DNP |
| Practice Address |
2000 E Southern Ave Ste 102 Tempe AZ 85282-7510 |
| Mailing Address |
2688 E Santa Rosa Dr Gilbert AZ 85234-1487 |
| Practice Telephone | 4808209141 |
| Mailing Telephone | 6029197226 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 227355 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2000 E SOUTHERN AVE STE 102 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-7510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992711535 | Jerome Patridge | Anesthesiology | 2000 E Southern Ave Ste 102, Tempe, AZ 85282-7510 | 2006-08-01 |
| 1447670385 | Jacob R Bradshaw | Anesthesiology | 2000 E Southern Ave Ste 102, Tempe, AZ 85282-7510 | 2014-04-18 |
| 1699900530 | Glenn L Walker | Anesthesiology | 2000 E Southern Ave Ste 102, Tempe, AZ 85282-7510 | 2009-05-21 |
| 1518153055 | Yingzhong Tian | Anesthesiology | 2000 E Southern Ave Ste 102, Tempe, AZ 85282-7510 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164032249 | John Durkin | Nurse Anesthetist, Certified Registered | 2000 E Southern Ave Ste 105, Tempe, AZ 85282-7510 | 2020-08-04 |
| 1255776308 | Angela L Fountain | Nurse Anesthetist, Certified Registered | 6433 S Clark Dr, Tempe, AZ 85283-3308 | 2013-05-02 |
| 1629357058 | James G Soler | Nurse Anesthetist, Certified Registered | 1232 E Broadway Rd Ste 205, Tempe, AZ 85282-1509 | 2011-08-16 |
| 1265527618 | Maureen B Riley | Nurse Anesthetist, Certified Registered | 1411 E Bayview Dr, Tempe, AZ 85283-2170 | 2006-10-03 |
| 1437522794 | Connie Bruch-harrison Pllc | Nurse Anesthetist, Certified Registered | 1232 E Broadway Rd, Suite 205, Tempe, AZ 85282-1511 | 2015-11-09 |
| 1477926095 | Soler Anesthesia | Nurse Anesthetist, Certified Registered | 1232 E Broadway Rd, Suite 205, Tempe, AZ 85282-1511 | 2015-11-04 |
| 1952736993 | Anesthesia Physicians of Arizona, PC | Nurse Anesthetist, Certified Registered | 1500 S Mill Ave, Tempe, AZ 85281-6699 | 2013-09-10 |
| 1336480516 | Sunshine Anesthesia Inc | Nurse Anesthetist, Certified Registered | 1232 E Broadway Rd, Suite 205, Tempe, AZ 85282-1511 | 2013-03-13 |
| 1154662336 | Hind Shabany Md | Nurse Anesthetist, Certified Registered | 1232 E Broadway Rd, Suite 205, Tempe, AZ 85282-1511 | 2013-03-13 |
| 1639480577 | Jared Craig Weekes | Nurse Anesthetist, Certified Registered | 1976 E Baseline Rd, Suite 102, Tempe, AZ 85283-1533 | 2010-06-25 |
| Find all providers in TEMPE | ||||
Please comment or provide details below to improve the information on DR. GREGG TIDRICK.
| 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.