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WILDEWOOD MEDICAL CARE
NPI 1770659609
Family Medicine in California, MD

Active since November 24, 2006
23415 THREE NOTCH RD, STE 2054 WILDEWOOD CTR, CALIFORNIA, MD 20619(301) 737-7833(301) 737-4865 Get Directions Write a Review

NPPES record last updated: April 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wildewood Medical Care NPPES

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

WILDEWOOD MEDICAL CARE (NPI 1770659609) is a healthcare organization registered as a family medicine in California, Maryland and active in the NPI registry since November 2006. The organization lists John Scott Tidball, Owner, as its authorized official.

NPPES Registry Identity

NPI1770659609
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJOHN SCOTT TIDBALL, MD, PC
Location Address23415 THREE NOTCH RD, STE 2054 WILDEWOOD CTRCalifornia, MD 20619-4017
Mailing Address23415 Three Notch Rd, Ste 2054 Wildewood CtrCalifornia, MD 20619-4017 · (301) 737-7833 · Fax (301) 737-4865
Phone(301) 737-7833
Fax(301) 737-4865
Organization SubpartNo
Authorized OfficialJohn Scott TidballOwner · (301) 737-7833
Enumeration DateNovember 24, 2006
Last NPPES UpdateApril 4, 2011
✔ NPI 1770659609 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 Names 1

Doing Business AsWildewood Medical Care

Other Identifiers 2

Medicare UPING61586MD
Medicaid138950500MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. 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
VISIONWORKS INC.
Eyewear Supplier
23415 THREE NOTCH RD, SUITE 1101
CALIFORNIA, MD 20619
St. Mary's County (301) 862-1896
CARA BETH CORRELL DPT
Physical Therapist
23415 THREE NOTCH RD
CALIFORNIA, MD 20619
St. Mary's County (240) 624-7674
DR. ANNIE VERGHESE M.D.
Dermatology
23415 THREE NOTCH RD, SUITE 2052
CALIFORNIA, MD 20619
St. Mary's County (240) 237-8268
PHYLLIS A RUMORE-FARRIS NP
Nurse Practitioner (Family)
23415 THREE NOTCH RD
CALIFORNIA, MD 20619
St. Mary's County (301) 373-7900
DR. MIA BARTUSKA FINKELSTON MD
Specialist
23415 THREE NOTCH RD, SUITE 2052, WILDEWOOD CENTER
CALIFORNIA, MD 20619
St. Mary's County (301) 866-5400
MICHAEL J KUHN DDS PC
Dentist (Orthodontics and Dentofacial Orthopedics)
23415 THREE NOTCH RD, #2003
CALIFORNIA, MD 20619
St. Mary's County (301) 862-4424

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 Scott Tidball, MD, PC's NPI number?

The NPI number for John Scott Tidball, MD, PC is 1770659609. It was assigned to this organization in the NPPES registry on November 24, 2006. The provider is doing business as Wildewood Medical Care.

Where is John Scott Tidball, MD, PC located?

John Scott Tidball, MD, PC is located at 23415 Three Notch Rd Ste 2054 Wildewood Ctr, California, MD 20619. The listed phone number is (301) 737-7833.

What is John Scott Tidball, MD, PC'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 Scott Tidball, MD, PC was last updated on April 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.