John Scott Tidball, MD, PC
NPI 1770659609 · Family Medicine Physician · California, MD
John Scott Tidball, MD, PC is a Family Medicine Physician organization in California, MD (NPI 1770659609).
Provider details
- NPI number
- 1770659609
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Tidball, Owner(301) 737-7833
- License
- D52196 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Wildewood Medical Care
Registry dates
- Enumerated
- 2006-11-24
- Last updated
- 2011-04-04
Frequently asked questions
- What is John Scott Tidball, MD, PC's NPI number?
- John Scott Tidball, MD, PC's National Provider Identifier (NPI) is 1770659609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is John Scott Tidball, MD, PC?
- John Scott Tidball, MD, PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is John Scott Tidball, MD, PC located?
- John Scott Tidball, MD, PC's practice location on file with NPPES is 23415 Three Notch Rd, California, MD 20619-4017.
- What is John Scott Tidball, MD, PC's phone number?
- The practice phone number listed in the NPPES registry for John Scott Tidball, MD, PC is (301) 737-7833.
- Who is the authorized official for John Scott Tidball, MD, PC?
- The authorized official listed on John Scott Tidball, MD, PC's NPPES record is John Tidball, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is John Scott Tidball, MD, PC's NPI active?
- Yes — John Scott Tidball, MD, PC's NPI (1770659609) is active in the NPPES registry as of the last update on 2011-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.