JAMES ELLIOTT TIDWELL III (NPI# 1942427380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942427380 |
| Entity Type | Individual |
| Full Name | JAMES ELLIOTT TIDWELL III |
| Credential | MD |
| Practice Address |
1000 Breckenridge St Suite 303 Owensboro KY 42303-0839 |
| Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
| Practice Telephone | 2706883700 |
| Practice Fax Number | 2706883709 |
| Mailing Telephone | 2706881330 |
| Mailing Fax Number | 2706881338 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2017-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 47992 | KY | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | M6422 | TX | Allopathic & Osteopathic Physicians |
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
M6422 | TX | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
47992 | KY | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
M6422 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114920600 | James Tidwell | Ophthalmology | 9480 El Tejado Rd, La Mesa, CA 91941-4462 | 2005-05-27 |
| Street Address |
1000 BRECKENRIDGE ST SUITE 303 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-0839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972346 | Tristan Sta.elena Briones | Radiology | 1000 Breckenridge St, Suite 203, Owensboro, KY 42303-0839 | 2005-06-17 |
| 1659741056 | Tisha L Higgs | Nurse Practitioner | 1000 Breckenridge St, Suite 401, Owensboro, KY 42303-0839 | 2015-09-29 |
| 1336529494 | Owensboro Health Medical Group Inc | Internal Medicine | 1000 Breckenridge St, Suite 400, Owensboro, KY 42303-0839 | 2015-06-04 |
| 1043604168 | Owensboro Health Medical Group Inc | Pain Medicine | 1000 Breckenridge St, Suite 205, Owensboro, KY 42303-0839 | 2015-03-26 |
| 1558794537 | Owensboro Health Medical Group, Inc | General Practice | 1000 Breckenridge St, Suite 401, Owensboro, KY 42303-0839 | 2013-08-14 |
| 1154661569 | Owensboro Health Medical Group, Inc | Nurse Practitioner | 1000 Breckenridge St, Suite 300, Owensboro, KY 42303-0839 | 2013-02-21 |
| 1265798979 | Nicole Elizabeth Davis | Pediatrics | 1000 Breckenridge St, Suite 300, Owensboro, KY 42303-0839 | 2012-04-06 |
| 1609141589 | Sarah D. Osborne | Nurse Practitioner | 1000 Breckenridge St, Suite 300, Owensboro, KY 42303-0839 | 2012-03-12 |
| 1588960397 | Candace Brooke Dulabh | Physician Assistant | 1000 Breckenridge St, Suite 401, Owensboro, KY 42303-0839 | 2011-01-27 |
| 1417265836 | Lindie Lee Unsel | Nurse Practitioner | 1000 Breckenridge St, Suite 300, Owensboro, KY 42303-0839 | 2010-09-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558779009 | Owensboro Health Medical Group, Inc | Plastic Surgery | 2211 Mayfair Dr, Suite 305, Owensboro, KY 42301-4568 | 2014-07-29 |
| 1508192162 | Gerald G. Edds Psc | Plastic Surgery | 2835 Farrell Cres, Owensboro, KY 42303-1393 | 2009-11-02 |
| 1992951412 | Zachariah J Barnes | Plastic Surgery | 1000 Breckenridge St Ste 303, Owensboro, KY 42303-0877 | 2008-08-15 |
| 1689839953 | Janae L Kittinger | Plastic Surgery | 1000 Breckenridge St, Suite 303, Owensboro, KY 42303-0839 | 2008-07-25 |
| 1568503852 | Gerald G. Edds | Plastic Surgery | 2835 Farrell Cres, Owensboro, KY 42303-1393 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235544602 | Ashley Boustany | Plastic Surgery | University of Ky 800 Rose St, Lexington, KY 40536-0001 | 2014-06-24 |
| 1952720880 | Commonwealth Plastic Surgery, Pllc | Plastic Surgery | 715 Shaker Dr Ste 100, Lexington, KY 40504-3674 | 2014-04-08 |
| 1366885675 | Morgan Brgoch | Plastic Surgery | Uk Surgery Clinic - Plastic Surgery, 740 S Limestone Ste E101, Lexington, KY 40536-0284 | 2013-04-17 |
| 1861752909 | Frank Ryan Wermeling | Plastic Surgery | 4001 Kresge Way Ste 220, Louisville, KY 40207-4640 | 2012-05-23 |
| 1578879300 | Anil Duggal | Plastic Surgery | 740 S Limestone St E101, Lexington, KY 40536-4412 | 2010-08-31 |
| 1518287044 | Sonata Plastic Surgery, Pllc | Plastic Surgery | 3260 Blazer Pkwy, Suite 102, Lexington, KY 40509-2116 | 2010-06-07 |
| 1982924817 | Ashley Rawson Kerekes | Plastic Surgery | 511 Robinbrooke Blvd, Suite 100, Elizabethtown, KY 42701-5904 | 2010-06-02 |
| 1245464387 | John Bradley Turner | Plastic Surgery | 3288 Eagle View Ln, Suite 300, Lexington, KY 40509-9020 | 2009-05-04 |
| 1164688909 | Stephen Alexander Schantz | Plastic Surgery | 3288 Eagle View Ln Ste 300, Lexington, KY 40509-9019 | 2008-07-31 |
| 1144492638 | Theodore L. Gerstle | Plastic Surgery | 3363 Tates Creek Rd Ste 209, Lexington, KY 40502 | 2008-03-25 |
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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.