William J Tidwell (NPI# 1962849463, PAC ID# 6901040625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1962849463 |
| PAC ID by PECOS | 6901040625 |
| Professional Enrollment ID | I20180601001829 |
| Full Name | William J Tidwell |
| Organization Legal Name | PADUCAH DERMATOLOGY PLLC |
| Address |
3101 Parisa Dr Paducah KY 42003-4584 |
| Phone Number | 2704448477 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0840274981 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 619 Old Symsonia Rd, Benton, KY 42025-5094 | 2705274950 | PADUCAH DERMATOLOGY PLLC |
| 3101 Parisa Dr, Paducah, KY 42003-4584 | 2704448477 | PADUCAH DERMATOLOGY PLLC |
| Organization Legal Name | PADUCAH DERMATOLOGY PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melinda P Garrett | Physician Assistant | Paducah Dermatology Pllc | 3101 Parisa Dr, Paducah, KY 42003-4584 |
| Halden H Ford | Dermatology | Paducah Dermatology Pllc | 3101 Parisa Dr, Paducah, KY 42003-4584 |
| Carly R Unger | Physician Assistant | Paducah Dermatology Pllc | 3101 Parisa Dr, Paducah, KY 42003-4584 |
| Christy Hart | Nurse Practitioner | Paducah Dermatology Pllc | 3101 Parisa Dr, Paducah, KY 42003-4584 |
| Tolly B Alsup | Physician Assistant | Paducah Dermatology Pllc | 3101 Parisa Dr, Paducah, KY 42003-4584 |
| Street Address |
3101 PARISA DR |
| City | PADUCAH |
| State | KY |
| Zip | 42003-4584 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melinda P Garrett | Physician Assistant | Paducah Dermatology Pllc | 3101 Parisa Dr, Paducah, KY 42003-4584 |
| Halden H Ford | Dermatology | Paducah Dermatology Pllc | 3101 Parisa Dr, Paducah, KY 42003-4584 |
| Carly R Unger | Physician Assistant | Paducah Dermatology Pllc | 3101 Parisa Dr, Paducah, KY 42003-4584 |
| Christy Hart | Nurse Practitioner | Paducah Dermatology Pllc | 3101 Parisa Dr, Paducah, KY 42003-4584 |
| Tolly B Alsup | Physician Assistant | Paducah Dermatology Pllc | 3101 Parisa Dr, Paducah, KY 42003-4584 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Stankewicz | Cardiovascular Disease (cardiology) | Saint Thomas Medical Partners | 2601 Kentucky Dr, Doctors Building 1 Suite 301, Paducah, KY 42003 |
| Mark Zenker | Cardiovascular Disease (cardiology) | Saint Thomas Medical Partners | 2601 Kentucky Dr, Doctors Building 1 Suite 301, Paducah, KY 42003 |
| James H Baker Ii | Cardiovascular Disease (cardiology) | Saint Thomas Medical Partners | 2601 Kentucky Dr, Doctors Building 1 Suite 301, Paducah, KY 42003 |
| Steven D Gamblin | Optometry | 3215 Irvin Cobb Dr, Suite 100, Paducah, KY 42003-0339 | |
| Heath D Schipp | Chiropractic | 3240 Lone Oak Rd C, Paducah, KY 42003-0370 | |
| Travis Wade Kahre | Chiropractic | 3333 Irvin Cobb Dr, Suite 104, Paducah, KY 42003-0526 | |
| Monty C Heisner | Chiropractic | 5649 Benton Rd, Paducah, KY 42003-1003 | |
| David Stewart Chalke | Chiropractic | Chalke Chiropractic Psc | 412 Adams St, Paducah, KY 42003-1537 |
| Stephen Montgomery Stivers | Podiatry | 2000 Kentucky Ave, Paducah, KY 42003-3202 | |
| Theresa Kay Clifton | Clinical Social Worker | 2204 Kentucky Ave, Paducah, KY 42003-3242 | |
| Find all physicians in zip 42003 | |||
| City | PADUCAH |
| Zip Code | 42003 |
| Specialty | DERMATOLOGY |
| City + Specialty | PADUCAH + DERMATOLOGY |
Please comment or provide details below to improve the information on William J 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.