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Travis Tidwell

Podiatrist

2710 Saint Francis Dr Ste 510
Waterloo , Iowa 50702-5620

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Travis Tidwell

Podiatrist

2710 Saint Francis Dr Ste 510
Waterloo , Iowa 50702-5620

(319) 230-7553

Write a Review Save Call

Travis Tidwell

Podiatrist

2710 Saint Francis Dr Ste 510
Waterloo , Iowa 50702-5620

(319) 230-7553 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Podiatrist

Languages spoken

  • English

Location

2710 Saint Francis Dr Ste 510 Waterloo , Iowa 50702-5620

First Address

  • Travis Tidwell
  • 912 Cherrywood Dr
  • Cedar Falls, IA
  • Zip : 50613-1612
  • Phone : (319) 230-7553

Second Address

  • Travis Tidwell
  • 2710 Saint Francis Dr Ste 510
  • Waterloo, IA
  • Zip : 50702-5620
  • Fax : (319) 272-5236
  • Phone : (319) 272-5000

Reviews

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FAQs


Where did Travis Tidwell attend graduate school?

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Where did Travis Tidwell do his residency?

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Where did Travis Tidwell do his fellowship?

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Is Travis Tidwell board certified?

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What type of doctor is Travis Tidwell

Podiatrist

In what state does Travis Tidwell practice in?

Iowa

Where is Travis Tidwell ’s practice located?

2710 Saint Francis Dr Ste 510 , Waterloo, Iowa, 50702-5620

What is Travis Tidwell ’s gender?

Male

Is Travis Tidwell a sole practitioner?

No

Is Travis Tidwell accepting new patients?

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What languages does Travis Tidwell speak?

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Does Travis Tidwell accept insurance?

Yes, Travis Tidwell accepts insurance

Does Travis Tidwell offers telemedicine?

Travis Tidwell has not indicated if he offers telemedicine

What is Travis Tidwell ’s professional license number?

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What is Travis Tidwell ’s NPI number?

1043627292

Does Travis Tidwell have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 213E00000X Podiatrist 074484 IA
Y 222Z00000X Podiatrist 074484 IA

National Provider Identifier

NPI 1043627292
Provider Name Travis Tidwell
First Address Cedar Falls, IA 50613-1612
Second Address Waterloo, IA 50702-5620
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 21/07/2014
Last Update Date 21/09/2017

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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