MARK A. TIDSWELL MD – NPI #1699722066
Internal Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

MARK TIDSWELL is a physician located in SPRINGFIELD, MA. NPPES has assigned the NPI number 1699722066 to MARK TIDSWELL on May 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

The NPI profile was previously updated about 15 years ago on Apr 01, 2011. 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 MARK TIDSWELL below.

NPI Profile for
MARK A. TIDSWELL

NPI Number
1699722066
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK A. TIDSWELL
Credentials
MD
Primary location
759 CHESTNUT STREET
S2668
SPRINGFIELD, MA 01199
Phone: (413) 794-5439 Fax: (413) 794-5389
Mailing address
280 CHESTNUT STREET
2ND FLOOR
SPRINGFIELD, MA 01199
Phone: (413) 794-5700 Fax:
Sole Proprietor
No
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
207RC0200X
- Internal Medicine / Critical Care Medicine (Primary)
MA 161219
207RP1001X
- Internal Medicine / Pulmonary Disease
MA 161219

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARK TIDSWELL is affiliated with the following medical group(s):
  • HOSPITAL
    • BAYSTATE MEDICAL CENTER
      759 CHESTNUT STREET
      SPRINGFIELD, MA 01199

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.