Nathan Tidwell, DO | |
639 Hospital Dr, Mountain Home, AR 72653-2914 | |
(479) 587-1700 | |
(479) 587-1366 |
Full Name | Nathan Tidwell |
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Gender | Male |
Speciality | Internal Medicine - Hematology & Oncology |
Location | 639 Hospital Dr, Mountain Home, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1780098756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 075019 (Georgia) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | 75019 (Georgia) | Primary |
Entity Name | Intermountain Medical Group Denver, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
Mailing Address | Practice Location Address |
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Nathan Tidwell, DO 3901 Parkway Cir, Springdale, AR 72762-6362 Ph: (479) 587-1700 | Nathan Tidwell, DO 639 Hospital Dr, Mountain Home, AR 72653-2914 Ph: (479) 587-1700 |
Dr. James C Croom, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 230 Highway 5 N Ste 20, Mountain Home, AR 72653 Phone: 870-425-6212 Fax: 870-508-6896 | |
Dr. Timothy Eric Bowen, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 555 W 6th St, Mountain Home, AR 72653 Phone: 870-425-8288 Fax: 870-425-8299 | |
Daniel Pesek Valach, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1409 Highway 201 N, Suite 1, Mountain Home, AR 72653 Phone: 870-508-5010 Fax: 870-508-5020 | |
Dr. Raymond L. Bandy, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 628 Hospital Dr Ste 3-e, Mountain Home, AR 72653 Phone: 870-508-7450 Fax: 870-508-7768 | |
Dr. Mark D West, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 | |
Dr. Lincoln Alexander Godfrey, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-501-1000 Fax: 870-424-3089 | |
Dr. William Stephen Dyer, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 228 Bucher Dr, Mountain Home, AR 72653 Phone: 870-425-4416 Fax: 870-425-8615 |