David Tidwell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.008073RX Issued in OH

Practice address

895 W 3Rd Ave
Columbus, OH 43212-3106

Phone

(614) 437-0278

NPI assigned

Mar 16, 2023

Last updated

Apr 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohiohealth Urgent Care LLCGroup PAC ID 3476733700, 129 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.16 of 100Reported as group

Quality

79.15

Promoting interoperability

100

Improvement activities

40

Cost

74.72

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Ohiohealth Urgent Care LLC

  • Urgent Care Clinic/Center
  • Dublin, OH
  • NPI 1811207160
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1528769486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 SEDGWICK DR",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432205430",
            "telephone_number": "614-551-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 W 3RD AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123106",
            "telephone_number": "614-437-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008073RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dtidwell934805@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Urgent Care LLC",
            "address_1": "895 W 3rd Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432123106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Devin Tickle, LPCC-S
• Jean Marie Tidd, LISW
• Alyssa Tidmore, MS
• Brittany Tidwell, D.O.
• Caroline E Tidwell, AUD
• Jessica Jihyun Tieche, CRNA
• Jacob Christian Tiell, DO
• Julia Arlene Tiell, SWT
• Gina L Tierney, CNP
• Morgan Tierney

• Physician Assistant in Columbus, OH
• Providers in Columbus, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.