Stephen Tidwell, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

P9475 Issued in TX

Practice address

1000 S Coulter St
Amarillo, TX 79106-1781

Phone

(806) 212-4700

Fax

(806) 212-4730

NPI assigned

Jul 20, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Emergency Medicine

Education

Oklahoma State University College of Osteopathic Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bsa Physicians Group IncGroup PAC ID 3971748146, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bsa Compassion Home Care Home health agency, Amarillo, TX, CCN 677943
• Centerwell Home Health Home health agency, Amarillo, TX, CCN 457590
• Accentcare Health Home health agency, Amarillo, TX, CCN 457754
• Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stidwell84432@ahs.direct-ci.com

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.

• Bsa Physicians Group Inc

  • Internal Medicine Physician
  • Amarillo, TX
  • NPI 1457696916

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Bsa Physicians Group Inc

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1144668765
  NPD

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

• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984
  Care Compare affiliation
• Camden Bay LTD

  • Home Health Agency
  • Amarillo, TX
  • NPI 1245426527
  Care Compare affiliation
• Integracare of West Texas-Home Health, LLC

  • Home Health Agency
  • Amarillo, TX
  • NPI 1174755151
  Care Compare affiliation
• Kindstar, Inc.

  • Home Health Agency
  • Amarillo, TX
  • NPI 1396741047
  Care Compare affiliation

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1750679072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840026",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840026",
            "telephone_number": "806-212-5079",
            "fax_number": "806-212-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061781",
            "telephone_number": "806-212-4700",
            "fax_number": "806-212-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "STEPHEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "P9475",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P9475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret E Thurmond-Anderle, MD
• Tiamat Enterprises, Inc.
• Tide Falls Professional Counseling, LLC
• Angela Tidwell
• Lisa C Tidwell, LCSW
• Alyssa Marie Tienda, MD
• Reva Tilley, LPC
• Tim Enevoldsen M.Ed., LPC-S, PLLC
• Troy Don Timmons, M.ED., L.P.C.
• Andrew Chase Timms, PHARMD.

• Emergency Medicine Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.