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JOHN SCOTT TIDBALL M.D.
NPI 1760580476
Family Medicine in California, MD

Active since September 20, 2006
23415 THREE NOTCH RD, SUITE 2054 WILDEWOOD CENTER, CALIFORNIA, MD 20619(301) 737-7833(301) 737-4865 Get Directions Write a Review

NPPES record last updated: April 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Scott Tidball M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN SCOTT TIDBALL M.D. (NPI 1760580476) is an individual family medicine provider in California, Maryland, licensed in Maryland (D52196) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1760580476
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN SCOTT TIDBALLCredential: M.D.
Location Address23415 THREE NOTCH RD, SUITE 2054 WILDEWOOD CENTERCalifornia, MD 20619-4017
Mailing Address23415 Three Notch Rd, Suite 2054California, MD 20619-4017 · (301) 737-7833 · Fax (301) 737-4865
Phone(301) 737-7833
Fax(301) 737-4865
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 18, 2011
✔ NPI 1760580476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D52196
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

23415 THREE NOTCH RD, California, MD 20619
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Other Identifiers 2

Medicaid1389505000MD
Medicare UPING61586MD

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MIA BARTUSKA FINKELSTON MD
Specialist
23415 THREE NOTCH RD, SUITE 2052, WILDEWOOD CENTER
CALIFORNIA, MD 20619
St. Mary's County (301) 866-5400
DR. THOMAS MCCALL WILKINSON MD
Specialist
23415 THREE NOTCH RD, SUITE 2052, WILDEWOOD CENTER
CALIFORNIA, MD 20619
St. Mary's County (301) 866-5400
MRS. NICHOLE LYNN PELLETIER CRNP
Nurse Practitioner (Family)
23415 THREE NOTCH RD, SUITE 2054 WILDWOOD CENTER
CALIFORNIA, MD 20619
St. Mary's County (301) 737-7833
JOHN SCOTT TIDBALL, MD, PC
Family Medicine
23415 THREE NOTCH RD, STE 2054 WILDEWOOD CTR
CALIFORNIA, MD 20619
St. Mary's County (301) 737-7833
DR. MICHAEL JEFFREY KUHN D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
23415 THREE NOTCH RD, SUITE #2003
CALIFORNIA, MD 20619
St. Mary's County (301) 862-4424
BACK AT YOUR BEST CHIROPRACTIC & PHYSICAL THERAPY
Chiropractor
23415 THREE NOTCH RD, SUITE 2045
CALIFORNIA, MD 20619
St. Mary's County (301) 263-2378
DYLAN SCHNEIDER DDS MS LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
23415 THREE NOTCH RD, SUITE 2003
CALIFORNIA, MD 20619
St. Mary's County (301) 862-4424
DR. ANNIE VERGHESE M.D.
Dermatology
23415 THREE NOTCH RD, SUITE 2052
CALIFORNIA, MD 20619
St. Mary's County (240) 237-8268

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Tidball's NPI number?

The NPI number for John Tidball is 1760580476. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is John Tidball located?

John Tidball practices at 23415 Three Notch Rd Suite 2054 Wildewood Center, California, MD 20619. The listed phone number is (301) 737-7833.

What is John Tidball's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for John Tidball was last updated on April 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.