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Justin Alan Tidwell
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NPI Number Detailed Information
Provider Information:
Name: | Justin Alan Tidwell |
Gender: | M |
Provider License Number If Given: | PO00000806 |
NPI Information:
NPI: | 1710908892 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 7/22/2006 |
Last Update Date: | 7/8/2007 |
Reputation Report: |
Provider Business Mailing Address:
Address: | 5815 NE 23RD AVE Portland, OR 97211 |
Phone Number: | 5039367454 |
Fax Number: |
Provider Business Practice Location Address:
Address: | 501 N GRAHAM ST SUITE 415 Portland, OR 97227 |
Phone Number: | 5034132005 |
Fax Number: | 5034133699 |
Provider Taxonomy:
Primary: | 213ES0103X |
Secondary (if any): | 213ES0103X |
State: | OR |
Top Doctors in OR
About Justin Alan Tidwell
Justin Alan Tidwell ( JUSTIN ALAN TIDWELL ) is Definition Podiatrist Physician in Portland, OR.
The NPI Number for Justin Alan Tidwell is 1710908892.
The current location address for Justin Alan Tidwell is 501 N GRAHAM ST SUITE 415 Portland, OR 97227 and the contact number is 5039367454 and fax number is .
The mailing address for Justin Alan Tidwell is 5815 NE 23RD AVE Portland, OR 97211- 5034132005 (mailing address contact number - 5039367454).
Definition to come...
Provider Business Location on Map
FAQs:
What is the NPI Number for Justin Alan Tidwell ?
Answer: The NPI Number for Justin Alan Tidwell is 1710908892
Where is Justin Alan Tidwell located?
Answer: Justin Alan Tidwell is located at 501 N GRAHAM ST SUITE 415 Portland, OR 97227.
What is the specialty for Justin Alan Tidwell ?
Answer: The Specialty of Justin Alan Tidwell is Definition Podiatrist Physician.
Are there any online reviews for Justin Alan Tidwell ?
Answer: Yes! Check It Now.
Are there any other health care providers in Portland, OR?
Answer: Yes, there are given below...
Medicare Physician & Other Practitioners
Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Justin Alan Tidwell
Medicare Part D Prescribers
Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.
Provider Specialty Type | Podiatry |
Source of Provider Specialty | |
Number of Medicare Part D Claims, Including Refills | 123 |
Number of Standardized 30-Day Fills | 136 |
Aggregate Cost Paid for All Claims | 1525.16 |
Number of Day's Supply for All Claims | 2347 |
Number of Medicare Beneficiaries | 67 |
Number of Claims, Including Refills, for Beneficiaries Age 65+ | 80 |
Including Refills, for Beneficiaries Age 65+ | 93 |
Beneficiaries Age 65+ | 919.23 |
Number of Day's Supply for All Claims for Beneficaries Age 65+ | 1642 |
Number of Medicare Beneficiaries Age 65+ | 45 |
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst | |
Total Claims of Brand-Name Drugs | 24 |
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst | |
Total Claims of Generic Drugs, Including Refills | 99 |
Aggregate Cost Paid for Generic Drugs | 1332.28 |
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst | |
Total Claims of Other Drugs, Including Refills | 0 |
Aggregate Cost Paid for Other Drugs | 0 |
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst | |
Number of Claims for Beneficiaries Covered by MAPD Plans | 84 |
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans | 872.86 |
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst | |
Number of Claims for Beneficiaries Covered by Standalone PDP Plans | 39 |
Aggregate Cost Paid for Claims Filled by | 652.3 |
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst | |
Number of Claims for Beneficiaries Covered by Low-Income Subsidy | 55 |
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy | 740.13 |
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst | |
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy | 68 |
by Low-Income Subsidy | 785.03 |
Total Claims of Opioid Drugs, Including | 30 |
Aggregate Cost Paid for Opioid Drugs | 241.36 |
Opioid Claims | 21 |
Opioid_Tot_Clms divided by the Tot_Clms | 24.390243902 |
Total Claims of Long-Acting Opioid Drugs | 0 |
Aggregate Cost Paid for Long-Acting Opioid | 0 |
Number of Day's Supply of All Long-Acting | 0 |
Long-Acting Opioid Claims | 0 |
Opioid_LA_Tot_Clms divided by the | 0 |
Total Claims of Antibiotic Drugs, Including | 19 |
Aggregate Cost Paid for Antibiotic Drugs | 409.56 |
Antibiotic Claims | 14 |
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst | |
Including Refills, for Beneficiaries Age 65+ | 0 |
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ | 0 |
Reason for Suppression of Antpsyct_GE65_Tot_Benes | |
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims | 0 |
Average Age of Beneficiaries | 66.76119403 |
Number of Beneficiaries Age Less Than 65 | 22 |
Number of Beneficiaries Age 65 to 74 | 27 |
Number of Beneficiaries Age 75 to 84 | 18 |
Number of Female Beneficiaries | 38 |
Number of Male Beneficiaries | 29 |
Number of Non-Hispanic White | 56 |
Number of Black or African American | |
Number of Asian Pacific Islander | |
Number of Hispanic Beneficiaries | |
Number of American Indian/Alaskan NativeBeneficiaries | 0 |
Number of Beneficiaries with Race Not | 0 |
Only Entitlement | 39 |
Average Hierarchical Condition Category | 2.0039754802 |
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Dr. Brian D Wadley
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Address: 233 NE 102ND AVE Portland, OR 97220 , Phone: 5035358325
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Address: 233 NE 102ND AVE Portland, OR 97220 , Phone: 5035358325
Dr. Debra R Serlin
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Address: 7524 SE MILWAUKIE AVE Portland, OR 97202 , Phone: 5032388818
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Address: 2901 E BURNSIDE ST Portland, OR 97214 , Phone: 5032385203
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Address: 727 W BURNSIDE Portland, OR 97209 , Phone: 5032284533
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Address: 1001 NW LOVEJOY ST UNIT 706 Portland, OR 97209 , Phone: 5037196544
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Address: 11731 NE GLISAN Portland, OR 97220 , Phone: 5032381601
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Address: 5050 NE HOYT ST SUITE 255 Portland, OR 97213 , Phone: 5032310407
A Step Forward Llc
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Address: 8605 SW TERWILLIGER BLVD Portland, OR 97219 , Phone: 5034780600
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Address: 8605 SW TERWILLIGER BLVD Portland, OR 97219 , Phone: 5034780600
Mrs. Beth A Lough
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Address: 3181 SW SAM JACKSON PARK RD # /UHS-2 Portland, OR 97239 , Phone: 5034947601
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Address: 3181 SW SAM JACKSON PARK RD # /UHS-2 Portland, OR 97239 , Phone: 5034947601
Ms. Claudia Marie Von Hammerstein
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Address: 1040 NW 22ND AVE SUITE LL015 Portland, OR 97210 , Phone: 5034137753
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Address: 1040 NW 22ND AVE SUITE LL015 Portland, OR 97210 , Phone: 5034137753
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Address: 516 SE MORRISON ST #5710 Portland, OR 97214 , Phone: 5037194025
Orthopedic & Fracture Clinic Pc
Orthopaedic Foot and Ankle Surgery Physician
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Address: 11782 SW BARNES RD SUITE 300 Portland, OR 97225 , Phone: 5032145200
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Address: 11782 SW BARNES RD SUITE 300 Portland, OR 97225 , Phone: 5032145200
Dr. Graeme N Forrest
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Address: 3181 SW SAM JACKSON PARK RD Portland, OR 97239 , Phone: 5034947735
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