Crystal C. Tidwell, DO
NPI 1275974909ActiveIndividual· Pediatrics· Santa Rosa Beach, FL
Pediatrics (DO) in Santa Rosa Beach, Florida, licensed in FL, with an NPI issued in July 2013. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1275974909 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Jul 10, 2013 |
| Last updated in NPPES | Sep 23, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | OS14104 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (FL) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other pediatricians in Santa Rosa Beach
- 1215201595
- 1386638864
- 1104579929
- 1265408397
- 1740233170
- 1689601338
- 1184804809
- 1962470534
- 1528201472