Justin Alan Tidwell is a Portland, Oregon based male podiatrist with 21 years of experience in Podiatric Foot & Ankle Surgery. He completed his graduation in 2003. He is also affiliated with hospitals like Legacy Emanuel Medical Center and Legacy Good Samaritan Medical Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Justin Alan Tidwell for Podiatric Foot & Ankle Surgery is DP00373 in Oregon. Justin Alan Tidwell provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Justin Alan Tidwell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Foot & Ankle Surgery
Credentials:
DPM
Experience:
21+ years
Medical School Attended:
Other
Graduation Year:
2003
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
501 N Graham St, Suite 415, Portland, Oregon, 97227-1654
Phone:
503-413-2005
Fax:
503-413-3699
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0042244725
Enrollment ID:
I20070206000698
NPI Number:
1710908892
NPI Enumeration Date:
22 Jul, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Justin Alan Tidwell are as mentioned below.
License Number
Specialization
State
Status
DP00373
Podiatric Foot & Ankle Surgery
Oregon
Primary
PO00000806
Podiatric Foot & Ankle Surgery
Washington
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Legacy Emanuel Medical Center (380007)
Portland, OR
Acute Care Hospital
Legacy Good Samaritan Medical Center (380017)
Portland, OR
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Justin Alan Tidwell is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Legacy Clinics Llc (0244144004)
590
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5815 Ne 23rd Ave, Portland, Oregon
Zip:
97211-5447
Phone Number:
503-936-7454
Fax Number:
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Patients can reach Justin Alan Tidwell at 501 N Graham St, Suite 415, Portland, Oregon or can call to book an appointment on 503-413-2005. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Edward Theodore Ysunza Iv Speciality: Podiatrist - Foot & Ankle Surgery Address: 3710 Sw Us Veterans Hospital Rd, OR Phone: 503-220-8262
Dr. Brian M. Bowen, D.P.M. 19+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 1717 Ne 42nd Ave, Suite 3300, OR Phone: 503-284-2000 Fax: 503-284-2002
Ray A Mcclanahan, DPM Speciality: Podiatrist Address: 725 Nw 19th Ave, OR Phone: 503-243-2699 Fax: 503-243-2698
Paul Clint Jones, D.P.M. 27+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 8305 Se Monterey Ave #101, OR Phone: 503-652-1121 Fax: 503-652-2193
Zackery David Nance, DPM 13+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 5050 Ne Hoyt St, Suite 428, OR Phone: 503-963-2964 Fax: 503-963-2966