OrganizationActive
Richard H Tidwell MD PLLC
NPI 1366589608 · Family Medicine Physician · Jay, OK
Richard H Tidwell MD PLLC is a Family Medicine Physician organization in Jay, OK (NPI 1366589608).
Provider details
- NPI number
- 1366589608
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Tidwell, Owner(918) 253-2550
- License
- 18708 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2485 N Main Street
Jay, OK 74346-0987
Phone: (918) 253-2550
Fax: (918) 253-2559
Street-level locationGet directions
Mailing address
Po Box 987
Jay, OK 74346-0987
Other names (DBA / former)
- Doing business as
- Jay Family Medicine Clinic
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2008-04-20
Frequently asked questions
- What is Richard H Tidwell MD PLLC's NPI number?
- Richard H Tidwell MD PLLC's National Provider Identifier (NPI) is 1366589608, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Richard H Tidwell MD PLLC?
- Richard H Tidwell MD PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Richard H Tidwell MD PLLC located?
- Richard H Tidwell MD PLLC's practice location on file with NPPES is 2485 N Main Street, Jay, OK 74346-0987.
- What is Richard H Tidwell MD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Richard H Tidwell MD PLLC is (918) 253-2550.
- Who is the authorized official for Richard H Tidwell MD PLLC?
- The authorized official listed on Richard H Tidwell MD PLLC's NPPES record is Richard Tidwell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Richard H Tidwell MD PLLC's NPI active?
- Yes — Richard H Tidwell MD PLLC's NPI (1366589608) is active in the NPPES registry as of the last update on 2008-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.