John Scott Tidball, Md, Pc

ActiveOrganizationFamily Medicine
NPI issued: November 24, 2006

Quick Facts

NPI Number
1770659609
TypeOrganization
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(301) 737-7833
StateMD

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1770659609)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (November 24, 2006)
Data source: CMS NPPES

Provider Overview

JOHN SCOTT TIDBALL, MD, PC is a Family Medicine provider based in California, MD who has been registered with CMS since 2006. They are affiliated with Wildewood Medical Care. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1770659609
Provider TypeOrganization
StatusActive
Enumeration DateNovember 24, 2006

Practice Location

CityCalifornia
StateMD
ZIP Code20619-4017
Phone(301) 737-7833

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateMD

Mailing Address

CityCalifornia
StateMD
ZIP Code20619-4017
Phone(301) 737-7833
Same as practice location

Hospital & Organization Affiliations

🏢

Wildewood Medical Care

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How to Use This NPI

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For Insurance Billing

Use NPI 1770659609 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1770659609for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1770659609 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

Browse all Family Medicineproviders →
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199,317
Family Medicine Providers in the US

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People Also Ask

What is John Scott Tidball, Md, Pc's NPI number?
John Scott Tidball, Md, Pc's NPI number is 1770659609, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is John Scott Tidball, Md, Pc's NPI currently active?
Yes, John Scott Tidball, Md, Pc's NPI status is Active as of the latest CMS NPPES database updates.
What does John Scott Tidball, Md, Pc specialize in?
John Scott Tidball, Md, Pc specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does John Scott Tidball, Md, Pc practice?
John Scott Tidball, Md, Pc practices in California, MD 20619-4017.
When was John Scott Tidball, Md, Pc's NPI issued?
John Scott Tidball, Md, Pc's NPI was issued on November 24, 2006.
What is John Scott Tidball, Md, Pc's provider type?
John Scott Tidball, Md, Pc is registered as an Organization under CMS NPI Type 2.