PAT T. TIDWELL MD PA – NPI #1093086563
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

PAT T. TIDWELL MD PA is a provider located in NICEVILLE, FL. NPPES has assigned the NPI number 1093086563 to PAT T. TIDWELL MD PA on January 16, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 7 years ago on Dec 12, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAT T. TIDWELL MD PA below.

NPI Profile for
PAT T. TIDWELL MD PA

NPI Number
1093086563
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PAT T. TIDWELL MD PA
Primary location
4554 HIGHWAY 20 EAST
NICEVILLE, FL 32578
Phone: (850) 678-6735 Fax: (850) 678-8078
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAT TIDWELL
PRESIDENT
Phone: (850) 678-6735
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
261QH0100X
- Clinic/Center / Health Service		 FL ME30890

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.