Jonathan D Tidwell (NPI# 1053574939, PAC ID# 5991925729) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1053574939 |
| PAC ID by PECOS | 5991925729 |
| Professional Enrollment ID | I20140930001030 |
| Full Name | Jonathan D Tidwell |
| Organization Legal Name | SHERIDAN HEALTHCORP INC |
| Address |
1000 Mar Walt Dr Fort Walton Beach FL 32547-6708 |
| Phone Number | 8508621111 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 3173429693 |
| Number of Group Practice Members | 797 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100223 | FORT WALTON BEACH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 8508621111 | SHERIDAN HEALTHCORP INC |
| Organization Legal Name | SHERIDAN HEALTHCORP INC |
| Physicians | 774 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor J Cox | Anesthesiology | Sheridan Healthcorp Inc | 1901 Sw 172 Ave, Miramar, FL 33029-5592 |
| Hope F Webb | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 303 N Clyde Morris Blvd, Daytona Bch, FL 32114-2709 |
| Melanie E Garcia | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 |
| Mallory E Mendez | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 967 N University Dr, Coral Springs, FL 33071-7048 |
| Diego Espaillat Prestol | Anesthesiology | Sheridan Healthcorp Inc | 2645 S Douglas Rd, Suite 400, Miami, FL 33133-2744 |
| Neepa D Patel | Anesthesiology | Sheridan Healthcorp Inc | 1925 Ne 45th St, Fort Lauderdale, FL 33308-5121 |
| John Oppenheimer | Anesthesiology | Sheridan Healthcorp Inc | 6500 66th St N, Pinellas Park, FL 33781-5030 |
| Lorrel Benoit | Certified Registered Nurse Anesthetist | Sheridan Healthcorp Inc | 15501 Nw 67th Ave, Suite 200, Miami Lakes, FL 33014-2123 |
| Fawzia Sultany | Anesthesiology | Sheridan Healthcorp Inc | 1600 Se 17th St, Ocala, FL 34471-4606 |
| Julissa Giselle Sanchez | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 2906 17th St, Saint Cloud, FL 34769-6006 |
| Street Address |
1000 MAR WALT DR |
| City | FORT WALTON BEACH |
| State | FL |
| Zip | 32547-6708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary David Wright | Emergency Medicine | Thomasville Emergency Physicians LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Pamela S Buckallew | Nurse Practitioner | Fl-i Medical Services LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Timothy A Rak | Emergency Medicine | Thomasville Emergency Physicians LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Sean E Thompson | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of North Florida LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Cathleen C Hoffman | Nurse Practitioner | Fl-i Medical Services LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Anne Marie Crow | Nurse Practitioner | Fl-i Medical Services LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Yvonne M Browning | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of North Florida LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Troy Saline | Emergency Medicine | Thomasville Emergency Physicians LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| John E Fortenberry | Emergency Medicine | Thomasville Emergency Physicians LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Megan Kayla Renner | Physician Assistant | Australian Lungfish Surgical Specialists LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morris E Gales Iii | General Surgery | Florida Post Acute Care Clinicians LLC | 1 L B J Sr Dr, Fort Walton Beach, FL 32547-1163 |
| John D Sites | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Teresa Marie Skojac | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Peter Kerr Senechal | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Chris George Pappas | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Christopher P Paulson | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Susan T Ott | Nurse Practitioner | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Brandy Marie Lackey | Nurse Practitioner | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Grant Eugene Zachary | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Jamison E Gaddy | Physician Assistant | Australian Lungfish Surgical Specialists LLC | 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221 |
| Find all physicians in zip 32547 | |||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | FORT WALTON BEACH + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Jonathan D Tidwell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.