Justin Alan Tidwell, DPM is a foot and ankle surgery podiatrist in Portland, OR with 21 years of experience. Justin Alan Tidwell, DPM NPI is 1710908892. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
501 N GRAHAM ST
SUITE 415
PORTLAND, OR
ZIP 97227-654
Phone: (503) 413-2005
Fax: (503) 413-3699
The NPI 1710908892 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- X-ray of foot, minimum of 3 views (HCPCS:73630)
- Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
- Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
- Removal of single thickened skin growth (HCPCS:11055)
The enumeration date for this NPI number is 7/22/2006 and was last updated on 7/8/2007.