Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

James Elliott Tidwell III, MD

Individual provider Plastic Surgery Physician · NPI 1942427380

James Elliott Tidwell III, MD is a Plastic and Reconstructive Surgery in Owensboro, Kentucky. Graduated from Baylor College of Medicine in 2005, 21 years ago. Practices with Owensboro Health Medical Group Inc, a 456-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
21
Trained at
Baylor College of Medicine
Licensed in
KY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2211 Mayfair Dr Ste 305
Owensboro, KY 42301-4572
Phone: (270) 688-3700
Fax: (270) 688-3709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 47992 (KY)
Plastic Surgery Physician Taxonomy 208200000X · Licence 47992 (KY)

Record details

NPI number1942427380
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2007
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Owensboro Health Medical Group Inc — 456 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Owensboro