Individual provider Active NPI

Christopher W Tidwell, D.O.

  • Emergency Medicine Physician
  • Dayton, OH
National Provider Identifier
1538134994
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34-007867 Issued in OH
Practice address
405 W Grand Ave
Dayton, OH 45405-4720
Phone
(937) 723-3210
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34-007867 OH Primary

Addresses

Primary practice location

405 W Grand Ave
Dayton, OH 45405-4720

Mailing address

249 Signature Dr S
Xenia, OH 45385-8903
Phone (937) 347-2116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL, FL, TN4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20080429000775 MS Practitioner - Emergency Medicine 9739168154 Reassigns benefits to 9 organizations
I20190718002797 AL Practitioner - Emergency Medicine 9739168154 Reassigns benefits to 2 organizations
I20191014001795 FL Practitioner - Emergency Medicine 9739168154 Reassigns benefits to 3 organizations
I20221222000177 TN Practitioner - Emergency Medicine 9739168154 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Emergency Services Inc.Group PAC ID 5799697272, 35 clinicians
Leake Emergency Group, LLCGroup PAC ID 4486985256, 15 clinicians
Dobbs Emergency Group, LLCGroup PAC ID 2860723731, 11 clinicians

Practice addresses (Care Compare)

100 Hospital St
Booneville, MS 38829-3354
Phone (662) 720-5000

1100 Hwy 16 E
Carthage, MS 39051-4222
Phone (601) 267-1100

140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690
Phone (662) 628-6611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.24 of 100Reported as group
Quality
90.02
Improvement activities
40
Cost
87.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-007867OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Jun 4, 2024 Accepting new patients
NWMC Emergency Physicians LLC Emergency Medicine CurrentSince Nov 19, 2024 Accepting new patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Jan 2, 2023 Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Aug 1, 2015 Accepting new patients
Relias Emergency Medicine Specialists of Amory, LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Leake Emergency Group, LLC Emergency Medicine CurrentSince Apr 27, 2020 Accepting new patients
United Emergency Services, Inc. Emergency Medicine CurrentSince Feb 5, 2025 Accepting new patients
Lake Oliver Emergency Group, LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Dobbs Emergency Group, LLC Emergency Medicine CurrentSince Nov 14, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jun 10, 2024 Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Aug 1, 2015 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
South Central Physicians PLLC CurrentSince May 1, 2024 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince May 15, 2019 Accepting new patients
Lake Oliver Emergency Group, LLC Emergency Medicine Current Accepting new patients
RH Emergency Medicine of Och Regional LLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Attala Emergency Group LLC Emergency Medicine CurrentSince Apr 26, 2020 Accepting new patients
Relias Emergency Medicine Specialists of West Point, LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Sep 23, 2019 Accepting new patients
Professional Emergency Specialists of Southern Ohio Emergency Medicine Past Accepting new patients
West Central Emergency Physicians Emergency Medicine Past Accepting new patients
Midland Emergency Management PLLC Emergency Medicine Past Accepting new patients
Hospital Based Medical Services of Tennessee-I PC Emergency Medicine Past Accepting new patients
Professional Emergency Specialists of Southern Ohio Emergency Medicine Past Accepting new patients
Baptist Memorial Hospital-Calhoun Inc Past Accepting new patients
Phoenix Emergency Physicians of the Midwest LLC Emergency Medicine Past Accepting new patients

Locations (25 of 26)

15155 Highway 43
Russellville, AL 35653
Phone (256) 332-1611

1530 US Highway 43
Winfield, AL 35594
Phone (205) 487-7000

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

3157 N Monroe St
Tallahassee, FL 32303
Phone (850) 325-5888

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311

140 Burke Calhoun City Rd
Slate Spring, MS 38916
Phone (662) 628-6611

400 Hospital Rd
Starkville, MS 39759
Phone (662) 323-4320

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

9400 Rhea County Hwy
Dayton, TN 37321
Phone (423) 285-5220

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

315 Oak St
Livingston, TN 38570
Phone (931) 403-1197

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

Interoperability endpoints

  • Direct secure messaging: christopher_tidwell_md_er@yourcarecommunity.org
  • Direct secure messaging: ctidwell368387@direct.bmhcc.org

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1538134994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 SIGNATURE DR S",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453858903",
            "telephone_number": "937-347-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GRAND AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054720",
            "telephone_number": "937-723-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34-007867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.