Christopher Tidroski, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N2319 Issued in TX

Practice address

961 E Main St
Eastland, TX 76448-3014

Phone

(254) 629-1100

NPI assigned

Jul 2, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifelong Wellness Clinic PLLC

  • Family Medicine Physician
  • Eastland, TX
  • NPI 1114205812
  NPD (past) Authorized official
• Eastland Health Clinic PLLC

  • Primary Care Clinic/Center
  • Eastland, TX
  • NPI 1942572227
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1144459868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 E MAIN ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764483014",
            "telephone_number": "254-629-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 E MAIN ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764483014",
            "telephone_number": "254-629-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDROSKI",
        "first_name": "CHRISTOPHER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N2319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Franklin Simpson Jr., D.O.
• Stephen M Laduque DDS, PA
• Julie Berenda Stewart, NP
• Kimberly Diane Stieber, PT, DPT
• Samantha Ranae Thomas, APRN-CNP
• Bich Thuy Tran
• Jacquelyn Nmi Tucker, FNP-C
• Valley View Healthcare
• Wal-Mart Stores Texas LLC
• William Todd Walker, DDS

• Family Medicine Physician in Eastland, TX
• Providers in Eastland, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.